Neuroprotection
Linda Bambrick, Ph.D.
Paul Fishman, M.D., Ph.D.
Gary Fiskum, Ph.D.
Douglas O. Frost, Ph.D.
Gloria E. Hoffman, Ph.D.
M. Samir Jafri, Ph.D.
Sergei Karnup, MD, PhD, DSc.
Bruce K. Krueger, Ph.D.
Margaret M. McCarthy, Ph.D.
Istvan Merchenthaler, MD, PhD, DSc
Mervyn J. Monteiro, Ph.D.
Teodor Postolache, M.D.
James Russell, M.D.
Robert Schwarcz, Ph.D.
J. Marc Simard, M.D., Ph.D.
Scott M. Thompson, Ph.D.
Ashiwel S. Undie, Ph.D.
Michael W. Vogel, Ph.D.
Paul J. Yarowsky, Ph.D.
Mission: Researchers affiliated
with the Neuroprotection Research Focus Group have broad interests
in the basic biological mechanisms that underlie chronic neurodegenerative
disorders such as Alzheimers disease, Parkinsons disease, amyotrophic
lateral sclerosis (Lou Gehrigs disease), multiple sclerosis,
and Huntingtons disease, as well as acute brain injury resulting
from stroke, cardiac arrest, trauma, and neurotoxins. The mission
of the Neuroprotection Research Focus Group is to elucidate these
mechanisms and use this information to develop treatments to
both prevent and cure these devastating disorders.
Research
Although neuroprotection scientists
utilize a wide variety of state-of-the art methods and experimental
systems, two common themes underlie much of the research in this
area. First, many neurodegenerative disorders can be caused or promoted
by inherited gene mutations leading to the production of abnormal
brain proteins. Neuroprotection researchers are utilizing a number
of systems in which these abnormal genes are inserted into normal
cells or living (transgenic) mice in order to study the biological
consequences of these mutations. Second, there is strong evidence
that many neurodegenerative disorders are characterized by the death
of brain cells (neurons, astrocytes, oligodendrocytes, etc.) via
a process known as apoptosis by which cells commit suicide. While
apoptosis plays an essential role in the development of the normal
brain, its occurrence during adult life is abnormal and can cause
neurodegenerative disease. Scientists throughout the world, including
those in the Neuroprotection Research Focus Group, have been characterizing
the complex molecular and cellular process by which brain cells undergo
apoptosis with the goal of understanding how to prevent its occurrence.
A particular focus at University of Maryland is the mitochondrion,
a microscopic organelle inside all cells, once thought to be solely
the cells energy source, but now known to also play a critical role
in suppressing apoptosis in healthy cells and inducing this form
of death in injured cells.
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A pyramidal cell in the hippocampus has been
filled with a fluorescent dye for studying its complex structure.
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Research by neuroprotection scientists
is directed toward identifying and characterizing proteins
that maintain neuron survival in the normal brain, as well as those
that, when altered by mutation, result in neuron death. Although
many of these proteins are found specifically in neurons, some are
located in other brain cells such as astrocytes, the metabolic chaperones
of neurons, oligodendrocytes, the cells that form the myelin sheath
insulation of axons, and cells within the cerebrovascular system
providing fuel and oxygen to the brain. The effect of aging and neurotoxins
on the levels of these proteins is also being investigated. These
proteins are potential targets for drugs that could be used to prevent
or treat neurodegenerative disorders. Indeed, neuroprotection researchers
are engaged in a number of collaborative relationships
with pharmaceutical companies interested in utilizing the discoveries
made by these scientists to design novel drugs that are effective
against neurological disorders and neurotoxicity.
Examples of neuroprotective interventions
under development include the use of drugs, hormones, naturally occurring
compounds, and environmental conditions that exhibit the following
activities:
- regulation of neuronal responses to excitatory neurotransmitters,
- balancing brain energy metabolism to meet demands,
- inhibition of different steps in apoptosis,
- regulation of ion channel activities,
- stimulation of neuroprotective gene expression, and
- modulation of signal transduction pathways to increase
resistance of brain cells to injury.
In addition to the preclinical neuroprotection research activities, many clinical
trials are underway at the University of Maryland Medical Center, the
Veteran's Administration Medical Center and the R Adams Cowley Shock
Trauma Center testing the efficacy of new drugs and treatment protocols
for acute ischemic stroke, head trauma, and a variety of diseases,
such as Parkinsons disease. Clinical research at these centers is
greatly enhanced by the Center for Clinical Trials at the University
of Maryland and by the commitment of the university to expedite the
development and implementation of safe and effective therapeutic protocols.
Investigators and Extramural Support
The Neuroprotection Research Focus Group
consists of over 50 faculty, postdoctoral fellows, and students within
10 academic departments. Close and effective collaboration between
these investigators is promoted by regular Neuroprotection Research
Focus Group meetings and numerous research seminars. Total extramural
research funding exceeds $10 million per year. Sources of grant support
include several different institutes within the National Institutes
of Health, other federal agencies, such as the Department of Defense,
various research associations, like the American Heart Association
and the Alzheimers Association, and numerous pharmaceutical and
biotechnology firms.
One unique aspect of the Neuroprotection
Research Focus Group is the close interaction between those investigating
the pathophysiology of neurodegeneration and the clinicians who treat
patients with neurologic and neurodegenerative diseases. The Neuroprotection
Research Focus Group consists of both basic and clinical scientists
within the University of Maryland School of Medicine, many of whom
also work in the University of Maryland Medical Center, the Baltimore
VA Medical Center, the R Adams Cowley Shock Trauma Center, and the
Maryland Psychiatric Research Center. This extensive network is a
valuable resource assisting students, faculty, and extramural sponsors
meet the goals of their research missions.
Challenges for the Future
The new millennium presents exciting
challenges for the Neuroprotection Research Focus Group. Advances
in molecular techniques for identifying abnormal genes and altered
gene expression in chronic and acute neurodegenerative disorders
enable screening of potential targets for intervention that was
not possible a few years ago. The extensive and diverse patient
population and the many experimental models of neurotoxicity and
neurodegeneration being studied at the University of Maryland provide
the resources necessary for such screening. The greater challenge
will be to translate the knowledge gained from molecular analyses
into an understanding of the mechanisms responsible for neurodegeneration,
and into novel approaches for treating or preventing these disorders.
Although these goals are formidable, their importance to the health,
welfare, and security of our society is immeasurable.
For additional information"
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