What we discovered through our findings in policy and practice helped shaped the trajectory of our project. We gathered data from researchers, medical doctors, veterinarians, cataract patients, and public opinions to find out the best way to develop our project so that it can benefit as many people as possible.

Our Policy and Practice is separated into three categories, Research, Outreach and Impact. In the Research category, we collected and analyzed data from researchers, doctors, vets, investors, patients and the general public. This information shaped the direction of every part of our project, including the construct design, nanoparticle prototype synthesis and delivery, biological modeling and the development of a marketing plan for selling our final product. In the Outreach category, we educated the public and spread awareness of our cataracts project, synthetic biology and science in general. We also collaborated and communicated with two iGEM teams to help solve problems together. Through educating and raising awareness, we hope not only to get more people involved in finding a solution to cataracts, but also to get more people involved and interested in synthetic biology research. The final category, Impact, includes working with organizations and infrastructure that is already in place to actually help people who suffer from Cataracts. We have raised funds, through bake sales and other events, to donate to the Himalayan Cataracts Project, a non-profit organization based in Nepal. With the help of our business and economics teacher, we have also created a marketing plan and started discussions with several biotech investors about the possibility of getting our project to market.

Professional Help

In order to improve our research and prototype, we needed to get in contact with experts in the fields of eye surgery and cataract research. Our first step was to contact eye doctors to discuss any problems associated with current cataract treatments. Finally, while developing our project we realized that cataracts are a major issue in pets and other animals as well. As a result, we contacted local veterinarians to discuss what pet owners do when their pets develop cataracts. As our project developed, we needed more specific information regarding our genes of interest, cataract development, and our delivery mechanism. We contacted scientists doing research similar to our own to get their opinions on our projects as well.

Contact with Eye Doctors

We contacted local Taiwanese eye doctors to ask them about cataracts surgery. Here is a list of the doctors we contacted along with the information they provided:

Contact with Veterinarians

Cataracts affect millions of people’s lives as a result of aging and diseases; however, many pet owners come across the problem of their pets suffering from cataracts as well. To alleviate this problem, we investigated if the potential benefits of our solution can be applied to domestic animals as well.

As we continued to develop our project, we also hoped to treat cataracts in animals. We consulted with veterinarians at clinics around Taipei. We visited two veterinarian clinics, (Nicholas Animal Hospital and Tai Pu Veterinarian Hospital) and asked various others about the viability of our project. From these interviews we learned that there are already commercial eye drops available, which are prescribed for pets, but that these are not very effective. One of the drugs developed is called Ocluvet(R), which we purchased and used in our experiments to compare to our own treatment design.

Contact with Science Researchers

Researchers’ firsthand knowledge, regardless of how many papers one reads on PubMed, provides a better understanding on specific topics of research. Thus, in order to gain a better understanding of specific areas of our project, we contacted researchers to learn more about 25-hydroxycholesterol (25HC) and Chitosan nanoparticles.

Our questions were primarily focused on how 25HC works on the molecular level. We asked questions such as: what are the current researches conducted that uses 25HC? To what extent is 25HC responsible for reversing protein aggregation? And what are effective methods for 25HC storage? Both professors gave thorough responses on these questions, which we then used in our experiments. One response that was particularly helpful from Dr. Cyster was his suggestions on effective ways to store 25HC, in which he provided us with a recommended storage temperature. Dr. Gestwicki also provided us with two published papers that helped us understand the mechanism by which 25HC reverses cataract formation and this helped elucidate our understanding of 25HC.

Contact with Nanoparticle Engineers

Public Opinion

Bioethics Panel

We hosted a bioethics panel, where we invited teachers from various fields to engage in a conversation about bioethics and thoughts on our project in particular. The reason for including teachers from different fields is to allow our project and the topic of bioethics to be discussed from different perspectives. The panelists suggested that our project could really be applicable for use in dogs and cats. They also seemed unafraid of our use of nanoparticles, mainly due to the fact that they are biodegradable.

Cataract Survey

During TAS’s Spring Fair and our Taipei Cataract Awareness Day, we conducted a survey, from which we derived a general public sense of the following:

• Understanding of cataracts
• Willingness to use GMO products
• Willingness to use our product in humans and pets
• Side effect tolerance
• Willingness to pay for cataract surgery

Interviews with Cataract Patients

We interviewed two former cataract patients about their experiences with surgery. Both patients suffered from inconveniences due to the synthetic lens options, which would either make one nearsighted or farsighted. Complications due to surgery varied among individual cases; one suffered from dryness and irritation of the eye, while the other had no complications at all. Both of them stated that the surgery process was efficient and effective; however, if given the choice to apply effective eye drops instead of surgery, they’d be willing to use it rather than face surgery again. Dr. Moran’s and Mrs. Clapper’s experiences reinforce the disadvantages of surgery, and further motivated us to create a non-invasive solution.

Dr. Catriona Moran is a former patient of cataract surgery

Mrs. Sharon Clapper is a former patient of cataracts surgery

From interviews with cataract patients, ophthalmologists, veterinarians, polls from residents in Taipei and our school community, we learned that cataracts are prevalent and have a huge impact on everyday life. Now we wanted to raise awareness through education. We started by informing teachers and students of various grade levels about the severity and causes of cataracts, and how our project could tackle these problems.

Then, in our community, we handed out pamphlets, taught people how cataracts form, and simulated a cataract experience by wearing goggles of varying cloudiness. Below is a list of activities and programs that we did in outreach.

This is a photo of a lower school student at our booth, playing our interactive game and learning about what it is like to have cataracts.

During Spring Fair we conducted a survey to gather public opinion and designed an interactive game to raise awareness of cataracts. In the survey we asked questions regarding people’s opinions on genetically modified organisms, cataract surgery, and our project. For the game we taped parafilm onto lab goggles and asked people who came to our booth to play the “piano tiles” app with those goggles on, and thus experiencing a real life simulation of the effects of cataracts on vision.

Taipei Cataract Awareness Day

Our team went on an excursion to five different landmarks in Taipei and passed out flyers containing information on cataracts to the general public. We explained the formation of cataracts and the basic concepts of our project to local crowds and asked them to fill out our survey to get a wider sample size.

Kindergarten Science Experiments

We designed some easy experiments so that Kindergarten students could explore some common science concepts. The kids (and our team members) loved it! Some of the experiments included how to use the microscope, why light reflects through prisms, and how static electricity works.

7th Grade Introduction to Synthetic Biology

For 7th Graders we decided to introduce the concepts of synthetic biology, since they had just be introduced to DNA in their science classes. Aside from teaching a general idea of what synthetic biology is, we also introduced them to some basic laboratory techniques essential to synthetic biology. We made up scenarios and asked them to solve these problems using different combinations of standardized parts (promoter, RBS, different ORFs, etc.). They also learned how to use micropipettes and run a gel!

International baccalaureate 11th grade

We presented our project to 11th grade IB students. Since they were learning about genetic engineering concepts, we gave a presentation on the details of our project to gain feedback.

Biobuilder Club

23 high school teams from around the world joined the BioBuilder Club, which is run by the BioBuilder Educational Foundation. This club held online meetings once a month so the teams could brainstorm synthetic biology project topics, project design, and collectively troubleshoot problems encountered by each team. The club held a final assembly in Boston at Lab Central, and we were excited to present our poster in absentia from Taipei.

With the help of our business and economics teacher, we developed a comprehensive marketing plan for our cataract prevention and treatment products, in order to create a more profound impact in terms of public awareness of cataracts. Within this plan we performed a situational analysis based on market research, customer analysis, environmental/industrial considerations, and regulatory constraints (such as quality control and SWOT analysis). Furthermore, we statistically analyzed our products’ viability in the market by developing pricing and promotional strategies. Upon completion, we initiated discussions with several biotechnology investors and published our plan on business starter websites to garner interest.

We received constructive feedback from a former intern at RA Capital (a biotechnology investment firm). He suggested that we focus on cost projections, for it would put us in a better position to engage with venture capitalists. He also thought our competitor analysis and initial market sizing was impressive. Furthermore, this plan was shown to an opthamologist, Dr. Tai-Yuan Wang, and he suggested that with an FDA approval and clinical trials, he would be interested in our products. Thus, we can conclude that our products have the potential to compete in market.

Marketing Plan Synopsis

There exists a significant market opportunity for cataract treatment worldwide. Over 3 million cataract surgeries are performed in the United States every year, and cataracts have attributed to 51% of world blindness. Although cataract surgery is the dominant procedure in this market, we have developed a product which provides distinctive advantages, and created a marketing plan which serves as a guide for establishing a successful business.

Lastly, we wanted to make a real impact in people’s lives who were experiencing cataracts. Despite our project’s goal of delivering cataract relief non-invasively, we realize that surgery is currently the most effective way to eliminate cataracts. So, we held fundraisers (in the form of bake sales and club fairs) in order to donate to those who don’t have funds or access to surgery. We raised enough money for 14 surgeries through the Himalayan Cataract Project, which serves underprivileged cataract patients.