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Singapore launches mass spectrometry-based clinical testing and research for personalised treatment

28 January 2021 | News

The Shimadzu-CGH Clinomics Centre (SC3) will improve turn-around time and clinical diagnostic accuracy of diseases such as hypertension and other endocrine conditions in adults

Photo Credit: Shimadzu

Photo Credit: Shimadzu

The Shimadzu-CGH Clinomics Centre (SC3), a public-private partnership by Changi General Hospital (CGH) and Shimadzu (Asia Pacific), was officially opened on Jan 28, 2021 by the Guest of Honour, Deputy Prime Minister Heng Swee Keat. A satellite laboratory of CGH, the initial SCoperations will focus on developing and validating various clinical applications and research to improve clinical diagnostics, which lead to better clinical care for patients with hypertension and other chronic diseases.
 
Professor Ng Wai Hoe, Chief Executive Officer, CGH, said, “The coming together of the clinical and research expertise of CGH and SingHealth with Shimadzu’s diagnostic and analytical capabilities will contribute to medical care and treatment in Singapore. At SC3, we will co-create clinical applications through mass spectrometry technologies and instruments that will enhance the standard of care for our patients.”
 
Tetsuya Tanigaki, Managing Director, Shimadzu (Asia Pacific) Pte Ltd, highlighted, "Excellence in Science is not only a motto but a way of life in the Shimadzu Family. And it is with this philosophy that we, along with CGH, are powering the SClab with futuristic technologies such as mass spectrometry and Analytical Intelligence among several others, to ensure that we deliver more accurate and faster outcomes to patients. This Centre is an example of how we can collaborate to establish a pioneering partnership for Advanced Healthcare. This is the first time that Shimadzu is working with a public hospital to establish a Clinomics Laboratory in Singapore. Our efforts will certainly transform the healthcare landscape of not only Singapore and the Asia Pacific region but also of the world."
 
Using a more accurate method for analysing clinical samples
 
Leveraging the technology of liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) powered by analytical intelligence, the SCseeks to improve clinical diagnostic accuracies for patients. In clinical laboratories, immunoassays are the main methodology for conducting clinical diagnostic tests to measure vitamins, hormones, and antibodies. However, different hormones often share similar structures, which can lead to inaccurate measurements using immunoassays. LC-MS/MS technology is rapidly gaining recognition in clinical laboratories for analysing clinical samples, as it offers higher analytical specificity and sensitivity compared to immunoassays.  
 
“The benefit of LC-MS/MS technology over the immunoassay is that our patients need not provide the same amount of blood samples for multiple tests. As it is also a highly specific and sensitive technology, the mass spectrometer can measure multiple test compounds in a single sample with greater accuracy. Patients will be comforted to know that the tests are more accurate and the sample required from them will be significantly reduced,” said Dr Daryl Hee, Senior Manager, CGH who is in charge of the SC3.
 
Providing precision and personalised medicine for Singaporeans
 
One in four adult Singaporeans suffers from hypertension, which is a leading cause of heart disease and strokes. It is now understood that hypertension is due to either excessive vasoconstriction (tightening of blood vessels) or excess salt and blood volume. Precise measurements of hormones can identify which spectrum of hypertension a patient has, and which medications are best suited for that patient. 
 
In recent years, hormone measurements also identify many patients with a treatable and curable form of hypertension (Primary Aldosteronism). Clinical Assistant Professor Troy Puar, Principal Investigator and Consultant, Endocrinology, Changi General Hospital said, “Although treatment
is available for hypertension, many patients still have uncontrolled blood pressure. Treatment of hypertension is not precise as each patient is different and their cause of hypertension may differ. When one medication does not work, doctors may choose to increase the dose, add another medication, or switch to another medication. By measuring precisely the type of hypertension that each patient has from the outset, doctors are able to know which antihypertensive medication works best for the patient, thereby enabling delivery of precise and personalised medicine.”
 
Prem Anand, Executive Officer and Senior General Manager, Shimadzu (Asia Pacific) Pte Ltd, said, "Today, precision and personalised medicines are being fuelled by the merger between analytical and medical technologies. These technologies are more relevant today than ever before, as more and more researchers are now using them concurrently. The fact that Shimadzu is the only company in the world to be a leader in both analytical and medical technologies, gives us the unique opportunity to develop truly synergistic solutions for Advanced Healthcare.
 
The launch of this Shimadzu-CGH Clinomics Centre is yet another reiteration of how we all can collaborate towards Contributing to Society Through Science and Technology". 
 
Achieving faster turnaround time for test results
 
With the SC3, it is envisioned that clinical tests based on the LC-MS/MS technology for adult diseases will no longer need to be routinely sent to overseas centres for processing. By developing the capability to conduct such tests in Singapore, local and even regional patients can receive their test results with a significant reduction in waiting time from approximately two weeks to one or two days.
 
Serving as a regional reference centre
 
In the long term, the SC3 aims to offer validated tests to patients in Singapore as a clinical laboratory and to serve as a regional reference centre in Asia Pacific for developing mass spectrometry solutions for wider clinical applications for chronic conditions and other areas of clinical diagnostics, such as drug monitoring. Measuring the efficacy of medication for patients with other common conditions, such as diabetes, can allow for more personalised treatment options, which can lead to better patient outcomes.
 
The SC3 is built to Biosafety Level 2 (BSL2) laboratory specifications and located inside the facilities of Shimadzu (Asia Pacific) at Singapore Science Park 1, where a team of clinicians from CGH and scientists from Shimadzu will jointly work to develop mass spectrometry-based solutions for clinical applications.

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