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	<title>Pilot Projects Archives - BRACE Alzheimer&#039;s Research</title>
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	<title>Pilot Projects Archives - BRACE Alzheimer&#039;s Research</title>
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		<title>Professor Steffen Scholpp &#8211; University of Exeter</title>
		<link>https://www.alzheimers-brace.org/professor-steffen-scholpp/</link>
		
		<dc:creator><![CDATA[Emma Bone]]></dc:creator>
		<pubDate>Mon, 21 Dec 2020 07:51:00 +0000</pubDate>
				<category><![CDATA[Pilot Projects]]></category>
		<category><![CDATA[University of Exeter]]></category>
		<guid isPermaLink="false">https://www.alzheimers-brace.org/?p=2096</guid>

					<description><![CDATA[<p>Exploring the role of epigenetic changes in Alzheimer’s disease (2020 - 2021).</p>
<p>The post <a href="https://www.alzheimers-brace.org/professor-steffen-scholpp/">Professor Steffen Scholpp &#8211; University of Exeter</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Professor Steffen Scholpp</span>
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			<span class="fl-heading-text">Pilot Project: Started 2020</span>
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	<h2><strong>Striking the right balance - WNT signalling in Alzheimer's disease.</strong></h2>
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	<p><span style="color: #003366;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p style="margin: 0cm; text-align: justify;"><span style="color: #0e101a;">A neuron in the brain is connected to hundreds of other neurons by as many as 10,000 connection points, known as synapses. These synapses serve as points of communication between the neurons. The capacity of the brain to form new synapses and prune others throughout our lifetime is the basis of learning and memory. These changes in neuronal connections are known as synaptic plasticity. </span></p>
<p><strong>What do we already know?</strong></p>
<p>Cell signalling, where crucial signals are passed from cell to cell, governs the necessary activities of neurons and coordinates multiple cellular actions. One of these signals known as WNT - regulates many aspects of synapses during brain development and in the adult brain. WNT signals increase the number, the density, and the strength of many synapses.</p>
<p>Alzheimer’s disease (AD) is primarily due to the loss of synaptic connections between neurons in the brain. Synapse loss leads to deterioration in memory and cognitive ability. Molecularly, we know of two significant changes in the diseased brain. Firstly, WNT is strongly decreased in AD brains, and therefore synaptic stability is reduced. Secondly, β-amyloid - a small molecule essential for controlling appropriate synaptic pruning - accumulates in the brain tissue.</p>
<p><strong>What is this project trying to find out?</strong></p>
<p style="margin: 0cm; text-align: justify;"><span style="color: #0e101a;">In this project, Prof Steffen Scholpp and his research team will test how WNT and β-amyloid interact in neurons. The researchers hypothesise that WNT signalling regulates the maintenance and growth of synaptic connections. In contrast, β-amyloid is required for pruning of unnecessary synapses. The research team will image the formation and disassembly of synaptic connections to test if WNT and β-amyloid keep a delicate balance between synaptic plasticity and synaptic stability - a step towards an understanding of the underlying molecular mechanism in AD. </span></p>
<p>&nbsp;</p>
<p><strong>Glossary</strong></p>
<p><a id="gene"></a>Gene – A gene is a region of DNA responsible for production of a protein.<br />
<a id="expression"></a>Expression (of genes) – Expression of a gene involves the ‘turning on’ of the production of the relevant protein.<br />
<a id="dnasequence"></a>DNA Sequence – The precise ordering of the bases from which DNA is composed.<br />
<a id="epigenetic"></a>Epigenetic changes – Changes in the production of a protein that DO NOT involve changes in the DNA sequence.<br />
<a id="autopsy"></a>Autopsy examination – an examination of a body after death to determine the cause of death or the character and extent of changes produced by disease.<br />
<a id="control"></a>Control Group – A control group in a scientific experiment is a group separated from the rest of the experiment, where the independent variable being tested cannot influence the results. In this case, the control group involves using brain tissue of people that did not have Alzheimers disease.</p>
<p><strong>Further information</strong></p>
<p><a href="https://www.exeter.ac.uk/dementia/" target="_blank" rel="noopener noreferrer">Please click here to find out more about dementia research at Exeter</a></p>
<p><a class="externalLink" href="https://medicine.exeter.ac.uk/about/profiles/index.php?web_id=Adam_Smith&amp;tab=research" target="_blank" rel="noopener noreferrer">Please click here for more information about the work of Adam Smith.</a></p>
<p><a class="externalLink" href="https://medicine.exeter.ac.uk/about/profiles/index.php?web_id=Katie_Lunnon&amp;tab=profile" target="_blank" rel="noopener noreferrer">Please click here for more information about the work of Dr Katie Lunnon.</a></p>
<p><a class="externalLink" href="https://medicine.exeter.ac.uk/about/profiles/index.php?web_id=Jonathan_Mill&amp;tab=research" target="_blank" rel="noopener noreferrer">Please click here for more information about the work of Professor Jonathan Mill.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/professor-steffen-scholpp/">Professor Steffen Scholpp &#8211; University of Exeter</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Prof David Brown &#8211; University of Bath</title>
		<link>https://www.alzheimers-brace.org/university-of-bath-prof-david-brown/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Mon, 25 Mar 2019 10:45:00 +0000</pubDate>
				<category><![CDATA[Pilot Projects]]></category>
		<category><![CDATA[University of Bath]]></category>
		<guid isPermaLink="false">https://www.alzheimers-brace.org/?p=913</guid>

					<description><![CDATA[<p>The molecular nature of how brain cells die.</p>
<p>The post <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown/">Prof David Brown &#8211; University of Bath</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Pilot Project: University of Bath, 2019</span>
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	<p>The molecular nature of how brain cells die</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary<br />
</strong></p>
<p><a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#neurodegenerative">Neurodegenerative diseases</a> such as dementia are characterised by the unnatural build-up of certain proteins (<a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#amyloid">β-amyloid</a> and <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#tau">tau</a> in Alzheimer’s disease and <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#synuclein">α-synuclein</a> in Parkinson’s disease) which causes brain cells to die. This group will use a combination of molecular biology and biochemistry techniques to understand how β-amyloid and α-synuclein normally function and what makes ageing cells predisposed to the disease. This research will help identify potential <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#Drug">drug targets</a> which can be used to alter the progression of dementia related diseases.</p>
<p><strong>What do we already know?</strong></p>
<p><a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#neurodegenerative">Neurodegenerative diseases</a> are associated with the death of brain cells. Many types of dementia and other diseases are related to abnormalities of particular proteins within the brain. For example, Alzheimer’s disease is associated with <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#amyloid">β-amyloid</a> and <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#tau">tau</a>, and Parkinson’s disease and dementia with Lewy bodies are associated with <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#synuclein">α-synuclein</a>. Investigating how these proteins function normally, and what goes wrong in disease, will help us to understand the processes behind the progression of such conditions and the mechanisms by which cells die.</p>
<p><strong>What is this group trying to find out?</strong></p>
<p>The focus of Professor Brown’s research is to understand the molecular nature of how brain cells die. Whilst his group is especially interested some specific aspects of neurodegenerative diseases such as Alzheimer’s disease, Parkinson’s disease and <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#prion">prion disease</a>, what is especially interesting to them is what it is about the aging human brain that predisposes us to these diseases as we grow older. Something changes in the brain which alters how our brain cells can cope with differences in levels of certain proteins (e.g. α-synuclein and amyloid precursor protein) and the production of <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#oxidative">oxidative substances</a>.</p>
<h6><strong>Inducing age-related changes in microglia as a model for Alzheimer’s disease </strong></h6>
<p>(PhD Studentship - Dafina Angelova)<br />
One of the cell types particularly important in maintaining the environment in the brain is <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#microglia">microglia</a>, which are part of the <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#immune">immune defence</a> in the brain. Professor Brown’s group have developed a model of microglia that mimics the changes they undergo as the brain ages - by causing microglia to take up an excess of the metal iron their behaviour is changed. Current research is looking at how microglia treated in this way alter processes associated with diseases like Alzheimer’s disease.</p>
<h6><strong>Α-synuclein and cellular iron reduction</strong></h6>
<p>(jointly funded by Alzheimer’s Research UK)<br />
The group is also interested in proteins associated with neurodegeneration such as the <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#app">amyloid precursor protein</a> (APP, which is cleaved to form β-amyloid) and α-synuclein. While these proteins change in diseases and behave abnormally, they do have a different activity in healthy cells. Previous studies by the group have studied the protein α-synuclein and determined that it has a function that alters the way the metal iron is handled by cells, by causing iron to be converted to a form more active in cells. They are determining whether this activity is important to healthy cells and whether this is changed in diseases like Parkinson’s disease.</p>
<h6><strong>Α-synuclein expression regulates the breakdown of amyloid precursor protein</strong></h6>
<p>(PhD Studentship - Hazel Roberts)<br />
They have also recently shown that α-synuclein changes the rate of formation of β-amyloid, a protein normally associated with Alzheimer’s disease. They are currently determining the mechanism of α-synuclein activity in this regard. The potential cross-over between these proteins may be of great importance in understanding cellular processes that change as our brain ages.</p>
<p><strong>How do they do this?</strong></p>
<p>They use a combination of molecular biology and biochemistry techniques with cell lines, <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#cellculture">primary cell cultures</a> and human post-mortem brain tissue donated to brain banks.</p>
<p><strong>Why is it important?</strong></p>
<p>If we know more about the cellular mechanisms which go wrong in disease, it will identify <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown#Drug">drug targets</a> which may be utilised to alter disease progression and allow more effective drugs to be developed.</p>
<p><a class="externalLink" href="http://www.bath.ac.uk/bio-sci/contacts/academics/david_brown/" target="_blank" rel="noopener">Please click here for more information about the work of Professor David Brown.</a></p>
<p><strong>Glossary: </strong></p>
<p><a id="neurodegenerative"></a>Neurodegenerative diseases – A disease which causes the progressive death of the cells in the brain. Alzheimer’s disease, Parkinson’s disease and dementia with Lewy bodies are all neurodegenerative diseases.<br />
<a id="amyloid"></a>β-amyloid – Small proteins which aggregate to form amyloid plaques in Alzheimer’s disease. These plaques will eventually lead to the death of cells in the brain.<br />
<a id="tau"></a>Tau – Proteins that stabilise a cell component known as microtubules. In Alzheimer’s and Parkinson’s disease these tau proteins are defective and no longer functional.<br />
<a id="synuclein"></a>α-synuclein - A peptide which accumulates in cells leading to protein aggregates associated with Parkinson’s disease and dementia with Lewy bodies.<br />
<a id="prion"></a>Prion disease – A rare family of neurodegenerative disorders caused by abnormal folding of prion proteins.<br />
<a id="oxidative"></a>Oxidative substances –Biomolecules produced by cells which undergo oxidative chemistry. Oxidative chemistry is characterised by the loss of electrons during reaction.<br />
<a id="microglia"></a>Microglia – A type of brain cell which makes up about 10% of brain tissue. They make up part of the immune system of the brain.<br />
<a id="immune"></a>Immune system – The human body’s natural defence mechanism against pathogens (things that may harm the body).<br />
<a id="app"></a>Amyloid precursor protein (APP) – An essential protein found in the membrane of brain cells. The function of APP is not known although it is converted to β-amyloid in brain.<br />
<a id="cellculture"></a>Primary cell cultures – Cell culture is the growing of cells taken from the tissues of living organisms. A primary cell culture is a type of cell culture that closely represents the tissue of origin.<br />
<a id="Drug"></a>Drug target – Pharmaceutical drugs typically produce their effect by binding to proteins. A drug target is the specific protein acted on by a given drug.</p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/university-of-bath-prof-david-brown/">Prof David Brown &#8211; University of Bath</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr Shelley Allen &#038; Dr Debbie Shoemark &#8211; University of Bristol</title>
		<link>https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Tue, 01 May 2018 11:41:00 +0000</pubDate>
				<category><![CDATA[Pilot Projects]]></category>
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		<guid isPermaLink="false">https://www.alzheimers-brace.org/?p=979</guid>

					<description><![CDATA[<p>Oral health and Alzheimer's disease (2018 - 2019). </p>
<p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark/">Dr Shelley Allen &#038; Dr Debbie Shoemark &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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	<p>Oral health and Alzheimer’s disease</p>
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	<p><span style="color: #003366;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>Previous research has found that people who suffer from gum disease have a higher chance of developing Alzheimer's disease. One possible explanation for this incresed risk is the oral bacteria which are responsible for the gum disease. A previous BRACE-funded study (led by Dr Debbie Shoemark) has identified some types of oral bacteria associated with Alzheimer’s disease. This study looks to build on this work by conducting a feasibility study to see if sufferers of mild Alzhiemer’s disease are able to engage with good oral hygiene and whether this is economically feasible. This study may pave the way for an <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark#clinical"><u>NHS funded trial</u></a> into the effects of improved oral hygiene and the progression of Alzheimer’s disease.</p>
<p><strong>What do we know?</strong></p>
<p>It has been suggested that long-term bacterial infection results in an <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark#cascade">inflammatory cascade</a> in the brain, which triggers or contributes to the development of Alzheimer’s disease. The source of this infection could be oral bacteria – many are able to evade the <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark#immune">immune system</a>, and there is an increased risk of developing Alzheimer’s disease in those with gum disease and poor oral hygiene.</p>
<p><strong>What has been found out so far?</strong></p>
<p>A BRACE-funded study led by Dr Debbie Shoemark identified some types of oral bacteria associated with Alzheimer’s disease in post-mortem brain samples of dementia patients. It remains to be answered if these bacteria were present in the brain during life, and if reducing levels of such bacteria in the brain (and at the source in the mouth) can benefit those with Alzheimer’s disease.</p>
<p>This study also established a saliva test which was able to identify whether or not a subject had gum disease. This was done by looking at the DNA content of a mouthwash swill. Those with gum disease had around 25 times more DNA in the swill than those without, due to the presence of a lot of bacterial DNA. This test can now be used as an indicator for how well oral hygiene treatments are reducing levels of bacteria.</p>
<p><strong>The following publication provides a comprehensive background to the subject:</strong></p>
<p>Shoemark, DK &amp; Allen, SJ 2014, ‘The Microbiome and Disease: Reviewing the Links between the Oral Microbiome, Aging, and Alzheimer's Disease’. J Alzheimers Dis.</p>
<p><strong>What next? - Feasibility study</strong></p>
<p>The next step is to establish if patients with mild Alzheimer’s disease can engage and cope with the treatments, self-help and good oral hygiene protocol required to reduce oral bacteria - an obvious necessity if such treatments are to be effective. This study will be led by Dr Shelley Allen with Dr Debbie Shoemark, Professor Nicola West and her team from the Bristol Dental Hospital and Dr Liz Coulthard and team from the Memory Disorders Clinic. This will hopefully lead to an <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark#clinical">NHS funded trial</a> to see if improved oral hygiene can slow down the progression of Alzheimer’s disease.</p>
<p><strong>How will they do this?</strong></p>
<p>In this first pilot study, up to 20 people with mild Alzheimer’s or vascular dementia or Mild Cognitive Impairment and with gum disease, will be treated at the Bristol Dental Hospital over a period of two years to improve the health of their gums and we will determine how easy it is for participants to achieve and maintain good oral hygiene. The participants will need to be accompanied by a project partner (for instance a friend or adult relation). Those interested should ring 0117 342 9637 at the Dental Hospital or email <a href="mailto:dental-clinical-trials@bristol.ac.uk">dental-clinical-trials@bristol.ac.uk</a> and a member of the study team will provide more information and answer any questions.</p>
<p><strong>Why is this important?</strong></p>
<p>Compared to many other <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark#therapeutic">therapeutic approaches</a>, improving oral hygiene could be a relatively simple and non-invasive task which does not require excessive contact time with clinical staff. It could therefore be used widely to prevent the onset or to slow the progression of Alzheimer's disease symptoms.</p>
<p><strong>Glossary</strong></p>
<p><u><a id="cascade"></a>Inflammatory cascade</u> – The series of biological processes (known collectively as a cascade) responsible for inflammation.<br />
<u><a id="immune"></a>Immune system</u> – The human body’s natural defence mechanism against pathogens (things that may harm the body).<br />
<u><a id="clinical"></a>Clinical trial</u> – Trial to evaluate the effectiveness and safety of medications (or medical devices) by monitoring their effects on people.<br />
<u><a id="therapeutic"></a>Therapeutic treatment (therapeutic approach)</u> – A treatment which is designed to reduce or reverse the symptoms of a disease.</p>
<p><strong>Further information </strong></p>
<p><a href="/wp-content/uploads/2021/02/A5_flyer_v2_02Aug17.pdf" target="_blank" rel="noopener">Poster of study</a></p>
<p><a href="http://www.bris.ac.uk/biochemistry/people/deborah-k-shoemark/overview.html" target="_blank" rel="noopener noreferrer">Please click here for more information about the work of Dr Debbie Shoemark.</a></p>
<p><a href="http://www.bris.ac.uk/clinical-sciences/people/shelley-j-allen-birt/index.html" target="_blank" rel="noopener noreferrer">Please click here for more information about the work of Dr Shelley Allen.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-shelley-allen-dr-debbie-shoemark/">Dr Shelley Allen &#038; Dr Debbie Shoemark &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr George Stothart &#8211; University of Bath</title>
		<link>https://www.alzheimers-brace.org/university-of-bath-dr-george-stothart/</link>
		
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		<pubDate>Wed, 01 Nov 2017 09:42:00 +0000</pubDate>
				<category><![CDATA[Pilot Projects]]></category>
		<category><![CDATA[University of Bath]]></category>
		<guid isPermaLink="false">https://www.alzheimers-brace.org/?p=901</guid>

					<description><![CDATA[<p>Fast-Periodic-Visual-Stimulation – a new technique for assessing memory in Alzheimer’s disease.</p>
<p>The post <a href="https://www.alzheimers-brace.org/university-of-bath-dr-george-stothart/">Dr George Stothart &#8211; University of Bath</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Pilot Project: University of Bath, 2017</span>
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	<p>George Stothart - Fast-Periodic-Visual-Stimulation – a new technique for assessing memory in Alzheimer’s disease (Pilot Study)</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>There is currently a great need to improve early diagnosis of Alzheimer’s disease (AD). Electroencephalography (EEG) coupled with Fast-Periodic-Visual-Stimulation (FPVS) will be tested as a method for the early diagnosis of AD. The validity of this diagnosis tool will be tested and improved. Electroencephalography (EEG) provides promise as a non-invasive, objective, and affordable method for early diagnosis of patients with AD. An effective early diagnosis tool will provide opportunities for drug development and interventions much earlier than is currently possible.</p>
<p><strong>What do we already know?</strong></p>
<p>Tools for the early diagnosis of Alzheimer’s disease (AD) are greatly needed. Newly emerging technologies are allowing brain function to be measured easily, cheaply and more accurately than ever before. Electroencephalography (EEG) provides a quick and effective method for measuring brain activity. EEG coupled with a visual test utilising Fast-Periodic-Visual-Stimulation (FPVS) is emerging as a new method for dementia diagnosis.</p>
<p><strong>What are we trying to find out?</strong></p>
<p>This project is seeking to refine and evaluate the assessment of memory using FPVS and provide evidence for the viability of the technique with wireless portable EEG systems. The use of FPVS and EEG will be evaluated as a tool for early diagnosis of AD.</p>
<p><strong>How will this be done?</strong></p>
<p>A one-minute test involving a specifically designed EEG headset will be tested on a series of test groups with and without AD. The test will evaluate the participants memory and observational skills to predict whether the individual has AD. This prediction will be compared to the current diagnosis of the patient to measure the reliability of the EEG diagnosis.</p>
<p><strong>Why is this important?</strong></p>
<p>Currently there is a great need to improve the early diagnosis of AD as this would provide opportunities for drug development and interventions much earlier than is currently possible. Electroencephalography (EEG) provides a non-invasive, objective, and affordable method for examining brain function but has not yet been fully utilised as an early diagnosis tool.</p>
<p><strong>Glossary</strong></p>
<p>Electroencephalography (EEG) - A non-invasive method to record the electrical activity of the brain.<br />
Fast-Periodic-Visual-Stimulation (FPVS) - This is defined as visual stimulation of the brain (typically through images on a screen) at a periodic rate which leads to an electrical response which can be measured by EEG.</p>
<p><strong>Further Information </strong></p>
<p><a href="https://researchportal.bath.ac.uk/en/persons/george-stothart" target="_blank" rel="noopener">Please click here for more information about the work of Dr George Stothart</a></p>
<p><a href="https://www.alzheimers-brace.org/eeg-test-early-alzheimers-diagnosis/">Click here to read an update on Dr George Stothart's 'Fastball' project</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/university-of-bath-dr-george-stothart/">Dr George Stothart &#8211; University of Bath</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr Lindsey Sinclair &#8211; University of Bristol</title>
		<link>https://www.alzheimers-brace.org/university-of-bristol-dr-lindsey-sinclair/</link>
		
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		<pubDate>Tue, 05 Sep 2017 11:05:00 +0000</pubDate>
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					<description><![CDATA[<p>The relationship between later life depression and Alzheimer’s disease: bystander or participant? (2017 - 2018).</p>
<p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-lindsey-sinclair/">Dr Lindsey Sinclair &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Pilot Project: University of Bristol, 2017</span>
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	<p>The relationship between later life depression and Alzheimer’s disease: bystander or participant?</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>Later-life depression and dementia are thought to be linked through similar changes to the blood vessels in the brain. This research seeks to assess this link by looking at brain tissue from groups of people who suffer with dementia, those who suffer from later-life depression and those who do not suffer from either.</p>
<p><strong>What do we already know?</strong></p>
<p>Depression and dementia are common diseases but the link between them has not been fully characterised. It has been estimated that late life depression leads to a doubling of the risk of dementia, but it is not clear whether later life depression is an early sign of dementia, or a risk factor for dementia developing.</p>
<p><strong>What are we trying to find out?</strong></p>
<p>It has been hypothesised that changes in blood circulation in the brain (<a href="https://www.alzheimers-brace.org/university-of-bristol-dr-lindsey-sinclair#vascular"><u>vascular changes</u></a>) are associated with <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-lindsey-sinclair#depression"><u>depression in later life</u></a>. These vascular changes are also thought to play a large part in the onset of Alzheimer’s disease (AD). This project seeks to characterise the link between later-life depression and dementia – and to characterise the link of both disorders to vascular changes in the brain.</p>
<p><strong>How will this be done?</strong></p>
<p>The main hypothesis of this work is to understand whether a link between dementia and depression exists. Tissues of different groups of patients will be analysed. The levels of specific proteins of the tissue will be measured and compared. By comparing the brain tissue of sufferers of dementia and sufferers of later-life depression we hope to find out whether later life depression is an early sign of Alzheimer’s Disease (AD), or if it seems to be a risk factor for AD.</p>
<p><strong>Why is this important?</strong></p>
<p>By understanding some of the biggest contributors to Alzheimer’s disease (AD) this research has the potential to delay the onset of AD. A delay of 5 years would lead to a reduction in the number of sufferers of this disease by 36%. This research has the potential to understand the <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-lindsey-sinclair#neurological"><u>neurological changes</u></a> that occur in the brains of patients who suffer from AD and later-life depression – something which is not yet fully understood.</p>
<p><strong>Glossary</strong></p>
<p><u><a id="depression"></a>Later-life depression</u> – A bout of depression that typically occurs for the first time in older patients.<br />
<u><a id="vascular"></a>Vascular Changes</u> – Changes to the blood vessels which are responsible for providing blood supply to the brain.<br />
<u><a id="neurological"></a>Neurological Changes</u> – Changes to the neurones (brain cells) that make up the neurological system of the brain.</p>
<p><strong>Further Information</strong></p>
<p><a href="https://research-information.bristol.ac.uk/en/persons/lindsey-i-sinclair(01865b8c-fcdb-4070-b096-5e52b96896ec).html">Please click here to learn more about Dr Lindsey Sinclair's research</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-lindsey-sinclair/">Dr Lindsey Sinclair &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr Alastair Wilkins, Prof Seth Love &#038; Dr Kelly Hares &#8211; University of Bristol</title>
		<link>https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares/</link>
		
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		<pubDate>Thu, 25 May 2017 11:10:00 +0000</pubDate>
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					<description><![CDATA[<p>Neuronal railways: identifying the mechanism behind dysfunctional protein transport in dementia (2017 - 2018).</p>
<p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares/">Dr Alastair Wilkins, Prof Seth Love &#038; Dr Kelly Hares &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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	<p>Neuronal railways: identifying the mechanism behind dysfunctional protein transport in dementia (Pilot Project)</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>The degradation of neurons is thought to play a very important role in the onset of the symptoms of dementia. In order for neurons to function properly, proteins and other structures need to be transported from the nucleus (where they are made) to the synapse (where they are needed) by <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#motor"><u>motor proteins</u></a>. KIF5A is a motor protein that binds to KLC1 (kinase light chain) to transport proteins involved in Alzheimer’s disease. In this project, the effect of turning on production of KLC1 (with respect to KIF5A and KLC1) will be tested using brain tissue from BRACE funded South West Dementia Brain Bank. Understanding how this cellular railway system works may lead to effective treatments that can slow neuron degradation and the subsequent symptoms of dementia.</p>
<p><strong>What do we already know?</strong></p>
<p>In order for neurons to work properly, proteins and other structures are transported to where they are needed within the cell.  For instance, proteins involved in the function of synapses (chemical junctions between neurons) are made in the cell nucleus and are transported (often long distances) to the synapse.  These transport mechanisms are complex and rely on “motor proteins”.  Motor proteins bind to specific protein cargoes and carry them on microtubules (essentially railway track-like structures) to where they are needed.</p>
<p>KIF5A is a motor protein that binds to KLC1 (kinase light chain) to transport proteins involved in Alzheimer’s disease.  It is known that a gene variation in KLC1 gene is linked to Alzheimer’s disease, and can predict conversion from mild cognitive impairment (MCI) to Alzheimer’s disease.  Reduced or <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#dysregulated">dysregulated</a> function of KLC1 may cause an increase in KIF5A expression, to improve the clearing of <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#aggregates">protein aggregates</a> involved in Alzheimer’s disease.</p>
<p><strong>What is this group trying to find out?</strong></p>
<p>The interactions between KIF5A (the motor proteins), microtubules (the “rails”) and KLC1 (the link that binds the motor proteins to the microtubules) are still unclear.  This study aims to determine how the KLC1 gene variation affects the expression of KIF5A and KLC1, as well as the transport of Alzheimer’s disease-related proteins such as APP and amyloid-β.  This may help determine why some Alzheimer’s disease sufferers have a much more severe disease course than others.</p>
<p><strong>How do they do this?</strong></p>
<p>Genetic analysis of human brain tissue from Alzheimer’s disease sufferers and healthy age-matched controls (without any cognitive impairment) will be used from the South West Dementia Brain Bank.  <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#rna">RNA</a> and protein will be extracted from human tissue, KLC1  and  KIF5A  expression  will  be  analysed  based  on  <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#genotype">genotype</a>  and  correlated  with  common markers of AD <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#neuropathology">neuropathology</a>, such as <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#amyloid">amyloid-β</a> and <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#tau">tau</a> levels.</p>
<p><strong>Why is it important?</strong></p>
<p>Defective protein transport appears to precede protein aggregation, and therefore may represent a “window of opportunity” for preventing pathological aggregates.  Improving our understanding of the interactions between KIF5A, KLC1 and microtubules – and how these are affected by genetic variations linked to Alzheimer’s disease – may help us discover new <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares#neuroprotective">neuroprotective</a> mechanisms and develop potential drug treatments.</p>
<p><strong>Glossary</strong></p>
<p><u><a id="motor"></a>Motor proteins</u> – Specific proteins responsible for the transport of other proteins around the cell utilising cell ‘railway tracks’ known as microtubles. <u><br />
<a id="dysregulated"></a>Dysregulated (proteins)</u> – Regulation of DNA is one of the ways the production proteins is switched on or off. Dysregulation is when production of proteins is turned off (due to regulatory factors).<br />
<u><a id="aggregates"></a>Protein aggregates</u> – Protein aggregates are formed when proteins clump together. The clumping together of proteins to form toxic lumps and tangles is a common feature of dementia related diseases.<br />
<u><a id="rna"></a>RNA </u>– Stands for ribonucleic acid, this biomolecule is closely related to DNA and is involved in the formation of proteins from DNA.<br />
<u><a id="genotype"></a>Genotype</u> – The genetic makeup of an organism. Our genetic makeup is responsible for many of the characteristics we possess (including hair colour, eye colour etc.)<br />
<u><a id="neuropathology"></a>Neuropathology</u> – The scientific study of diseases that affect the central nervous system.<br />
<u><a id="amyloid"></a>Amyloid-β</u> – Small peptides which aggregate to form amyloid plaques in Alzheimer’s disease. These plaques will eventually lead to the death of cells in the brain.<u><br />
<a id="tau"></a>Tau</u> – Proteins that stabilise a cell component known as microtubules. In Alzheimer’s and Parkinson’s disease these tau proteins are defective and no longer functional.<br />
<u><a id="neuroprotective"></a>Neuroprotective</u> – Something that aids the formation of new brain cells (neurons)</p>
<p><strong>Further information</strong></p>
<p><a href="http://www.bristol.ac.uk/clinical-sciences/people/alastair-wilkins/index.html">Please click here for more information about the work of Dr Alastair Wilkins.</a></p>
<p><a href="http://www.bristol.ac.uk/clinical-sciences/people/seth-love/index.html">Please click here for more information about the work of Prof Seth Love.</a></p>
<p><a href="http://www.bristol.ac.uk/clinical-sciences/people/kelly-m-hares/index.html">Please click here for more information about the work of Dr Kelly Hares.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-alastair-wilkins-prof-seth-love-dr-kelly-hares/">Dr Alastair Wilkins, Prof Seth Love &#038; Dr Kelly Hares &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr Shouquing Luo &#038; Dr Oleg Anichtchik &#8211; University of Plymouth</title>
		<link>https://www.alzheimers-brace.org/plymouth-university-dr-shouquing-luo-dr-oleg-anichtchik/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 09 Feb 2017 11:00:00 +0000</pubDate>
				<category><![CDATA[Pilot Projects]]></category>
		<category><![CDATA[University of Plymouth]]></category>
		<guid isPermaLink="false">https://www.alzheimers-brace.org/?p=858</guid>

					<description><![CDATA[<p>Reducing waste: decreasing protein “refuse sack” build-up in dementia (2017 - 2018).</p>
<p>The post <a href="https://www.alzheimers-brace.org/plymouth-university-dr-shouquing-luo-dr-oleg-anichtchik/">Dr Shouquing Luo &amp; Dr Oleg Anichtchik &#8211; University of Plymouth</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Dr Shouqing Luo & Dr Oleg Anichtchik</span>
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			<span class="fl-heading-text">Pilot Project: Plymouth University, 2017</span>
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	<p>Reducing waste: decreasing protein “refuse sack” build-up in dementia</p>
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	<p><strong>Scientific title:</strong> Does lowering futile autophagosome synthesis alleviate aggregation-prone protein toxicity in dementia?</p>
<p><strong>Type of project:</strong> Research grant</p>
<p><strong>What do we already know?</strong></p>
<p>Autophagy is an important cellular “self-eating” process that promotes cell survival through recycled nutrition and energy.  Autophagy also cleans up protein aggregates that can be toxic to neurons, causing neurodegenerative disorders such as Alzheimer’s disease, Parkinson’s disease and Huntington’s disease.  The autophagy process involves two steps: collection of proteins into autophagosome (i.e. “refuse sacks”) and disintegration of these by acidic lysosomes.</p>
<p>In some dementia cases, the build-up of toxic protein aggregates cause an increase in autophagosome sacks of protein, but defective break down by lysosomes.  This leads build-up of “futile autophagosomes” that are toxic to cells – known as futile autophagosome synthesis (FAS).</p>
<p><strong>What is this group trying to find out?</strong></p>
<p>Using various human and mouse model cell lines for Huntington’s disease expressing the mutant Huntington (mHTT) protein, the group will use partially knock-down genes involved in synthesising autophagosomes to see if this alleviates the futile autophagosome build-up associated with mHTT.  Reducing FAS in a cell model of Parkinson’s disease and dementia with Lewy bodies (which expresses the toxic α-synuclein protein) to see if this diminishes toxicity will also be assessed, to investigate whether a common pathological mechanism exists across dementia conditions.</p>
<p>Using induced pluripotent stem (iPS) cells from Huntington’s disease patients, the use of anti-sense oligonucleotides (ASOs – a method of genetic knockdown currently showing promise in clinical trials) in reducing FAS and cellular toxicity will also be examined.</p>
<p><strong>How do they do this?</strong></p>
<p>A combination of genetic manipulations on various human and mouse cell lines will reduce FAS, cell toxicity assays will be used to see if these increase cell survival.</p>
<p><strong>Why is it important?</strong></p>
<p>This research will pave the way for in vivo research into reducing FAS and cellular toxicity, which could lead to novel treatments for Huntington’s disease.  Moreover, if these techniques also work for Parkinson’s disease then it may aid development of treatments for this disorder as well.</p>
<p><strong>Further information</strong></p>
<p><a href="https://www.plymouth.ac.uk/staff/shouqing-luo" target="_blank" rel="noopener">Please click here for more information about the work of Dr Shouquing Luo.</a></p>
<p><a href="https://www.plymouth.ac.uk/staff/oleg-anichtchik" target="_blank" rel="noopener">Please click here for more information about the work of Dr Oleg Anichtchik.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/plymouth-university-dr-shouquing-luo-dr-oleg-anichtchik/">Dr Shouquing Luo &amp; Dr Oleg Anichtchik &#8211; University of Plymouth</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Prof Nick Allen, Prof Derek Blake &#038; Dr Adrian Waite &#8211; Cardiff University</title>
		<link>https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-prof-derek-blake-dr-adrian-waite/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Mon, 06 Feb 2017 11:49:00 +0000</pubDate>
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					<description><![CDATA[<p>Using stem cells to model protein quality control dysfunction in dementia.</p>
<p>The post <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-prof-derek-blake-dr-adrian-waite/">Prof Nick Allen, Prof Derek Blake &#038; Dr Adrian Waite &#8211; Cardiff University</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Prof Nick Allen, Prof Derek Blake & Dr Adrian Waite</span>
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			<span class="fl-heading-text">Pilot Project: Cardiff University, 2017</span>
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	<p>Using stem cells to model protein quality control dysfunction in dementia (Pilot Project)</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>The <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#proteostasis">proteostasis network</a> (PN) is responsible for the ‘quality control’ of proteins produced by the cell. The breakdown of the PN may lead to the build up of toxic proteins which is characteristic of most forms of dementia. Ubiquilin-2 is a protein which has been shown to be mutated in sufferers of X-linked fronto-temporal dementia and is thought to be required for the normal functioning of the PN. Using induced pluripotent stem cells (iPSCs), this group seeks to characterise the role of Ubiquilin-2 in the PN of human brain cells. This research will provide the basis for understanding why certain genes (such as the one that codes for Ubiquilin-2) increase the risk of dementia and how they can be targeted to produce new therapeutic treatments.</p>
<p>&nbsp;</p>
<p><strong>What do we already know?</strong></p>
<p>Maintenance of functional proteins is vital for cell survival, and the mechanisms responsible for this are collectively known as the <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#proteostasis">proteostasis network</a> (PN).  This network is a collection of over 1000 proteins that co-ordinate processes such as <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#proteinsynthesis">protein synthesis</a>, <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#folding">folding</a> and degradation.  The PN is able to adapt to environmental stresses, however disease, genetic variation and ageing can reduce the efficiency of this quality control network, leading to build up of toxic proteins (i.e. amyloid-β) and dementia.</p>
<p>Ubiquilin-2 is one protein involved, and the gene encoding this protein is mutated in X-linked fronto-temporal dementia (FTD). Prof. Blake and Dr Waite have previously shown that ubiquilin-2 associates with proteins involved in synaptic regulation and protein trafficking, which may explain why synaptic dysfunction has been reported in mouse models with ubiquitin-2 mutations. With Prof. Allen’s expertise in stem cell models of disease this research team will translate these previous findings into a novel disease-relevant cell model.</p>
<p>&nbsp;</p>
<p><strong>What is this project trying to find out?</strong></p>
<p>Current cell models investigating the role of ubiqilin-2 have yielded variable results due to their non-<a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#physiological">physiological</a> design, therefore a more physiologically-relevant cell model is needed.  Enter induced pluripotent stem cells (iPSCs).  Stem cells are the most versatile cell type in the body, since they possess the capability to turn into any type of cell by switching the relevant genes on or off.  Our understanding of stem cells is quite substantial, and we can now control the types of cells they differentiate into (e.g. neurons).  In the early days of stem cell technology, these cells would have to be isolated from embryos or adult bone marrow (however the latter are limited in the number of cell types they can become).  However, recent major advances in genetics mean that we can now “reset” skin cells isolated from individuals and transform them into stem cells that are able to differentiate into neurons.  These types of stem cells are known as “induced pluripotent stem cells” (iPS cells for short) and can be used to create immortal cell lines from healthy and diseased individuals to study the differences between various cell types.</p>
<p>The overall aim of the study is to successfully generate of a human iPSC model of X-linked FTD (and a healthy control) to further characterise the role of ubiqulin-2 in the PN, and how it may be non-functional in FTD. These studies will help increase our understanding of the neuronal PN that is relevant to other forms of dementia such as Alzheimer’s disease and motor neuron disease.</p>
<p><strong>How do they do this?</strong></p>
<p>The cutting-edge gene editing technology (the <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#crispr">CRISPR-cas9</a> system) will be used to introduce the ubiquilin-2 mutation to a human iPSC line.  The cells will then be assessed for stem cell properties using imaging and <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-dr-adrian-waite#genotype">genotyping methods</a>.</p>
<p><strong>Why is it important?</strong></p>
<p>This validated iPSC editing protocol and the cell lines will be used for future projects modelling risk gene variants for other forms of dementia, ultimately untangling the effects of these gene variations and revealing new drug targets.</p>
<p><strong>Glossary</strong></p>
<p><u><a id="proteostasis"></a>Proteostasis network</u> – The network of processes in cells responsible for the synthesis of correctly functioning proteins.<br />
<u><a id="proteinsynthesis"></a>Protein synthesis</u> – The process responsible for the production (synthesis) of new proteins in cells. <u><br />
<a id="folding"></a>Folding (of a protein)</u> – Proteins consist of amino acids which are linked together in a specific sequence. Once the chain of amino acids has been formed the protein will ‘fold’ into its correct three dimensional structure.<u><br />
<a id="physiological"></a>Physiological</u> – The study of the various mechanisms and processes that occur within living systems. <u><br />
<a id="crispr"></a>CRISPR-cas9</u> – A cutting edge genome editing technique adapted from bacteria. This method allows cutting and splicing of DNA at specific positions on the gene.<u><br />
<a id="genotype"></a>Genotyping methods</u> – Methods used to determine the differences in genetic make-up of an individual’s DNA sequence using biological assays.</p>
<p><strong>Further information</strong></p>
<p><a href="https://www.cardiff.ac.uk/people/view/61060-allen-nick">Please click here for more information about the work of Prof Nick Allen.</a></p>
<p><a href="https://www.cardiff.ac.uk/people/view/122804-blake-derek">Please click here for more information about the work of Prof Derek Blake.</a></p>
<p><a href="https://www.cardiff.ac.uk/people/view/644771-waite-adrian">Please click here for more information about the work of Dr Adrian Waite.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/cardiff-university-prof-nick-allen-prof-derek-blake-dr-adrian-waite/">Prof Nick Allen, Prof Derek Blake &#038; Dr Adrian Waite &#8211; Cardiff University</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr Xinzhong Li, Dr Stephen Pearson &#038; Prof Emmanuel Ifeachor &#8211; University of Plymouth</title>
		<link>https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 25 Aug 2016 13:10:00 +0000</pubDate>
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					<description><![CDATA[<p>Breath tests to detect Alzheimer’s disease (2016 - 2017).</p>
<p>The post <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor/">Dr Xinzhong Li, Dr Stephen Pearson &#038; Prof Emmanuel Ifeachor &#8211; University of Plymouth</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Pilot Project: University of Plymouth, 2016</span>
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	<p>Breath tests to detect Alzheimer’s disease; a pilot study.</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>Current diagnostic tests for Alzheimer’s are either <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#invasive"><u>invasive</u></a> or expensive. This project seeks to diagnose Alzheimer’s disease by analysis of volatile organic compounds (VOCs) in people’s breath. The VOC signals of people with Alzheimer’s disease will be compared to those of people without the disease to see if there is a noticeable difference. This test will make use of a state-of-the-art <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#massspec"><u>mass spectrometry</u></a> technology to detect VOCs in real time. An early diagnostic test for Alzheimer’s disease would be a huge leap forward in dementia research and allow more effective treatment of dementia.</p>
<p><strong>What do we already know?</strong></p>
<p>Drugs targeting <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#amyloid">amyloid-β</a> plaques and <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#tau">tau</a> protein tangles, two hallmarks accumulated in the brain of Alzheimer’s disease sufferers, have been unsuccessful in <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#clinical">clinical trials</a>.  It is now thought that soluble precursors of these deposits in the brain occur 15-20 years before symptoms develop. If we can target these smaller molecules – instead of the larger protein aggregates – then we stand a much better chance of combating the disease.</p>
<p>Existing diagnostic tools can assist AD diagnosis, but these can be <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#invasive">invasive</a> (e.g. cerebrospinal fluid analysis of proteins) or expensive (MRI/PET scanning).  Volatile organic compounds (VOCs) are the end products of <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#metabolic">metabolic processes</a> in the body that can be modulated by a variety of diseases, therefore breath testing (which links specific VOCs in exhaled breath to medical conditions), may offer a diagnostic opportunity for a variety of diseases.  Indeed, trials around the UK are currently underway looking at diagnosing oesophageal, gastric and lung cancers, as well as Parkinson’s disease.  Regarding dementia, one study recently found that VOC signals in AD differ from healthy participants.</p>
<p><strong>What is this group trying to find out?</strong></p>
<p>This project aims to determine whether VOCs in exhaled breath can act as <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#biomarker">biomarkers</a> for non-invasive early diagnosis of Alzheimer’s disease.</p>
<p><strong>How do they do this?</strong></p>
<p>Alzheimer’s disease and control participants will breathe into a breath analyser (a state-of-the-art Field Asymmetric Ion Mobility Spectrometry (FAIMS) technology) which detects VOCs in real-time.  The VOC profiles of Alzheimer’s disease and control participants will then be compared to see if there are any differences.  In addition, the group will compile participants’ gender, age, education level, MMSE, and other medical variables together with the VOC profiles to create a comprehensive database.</p>
<p><strong>Why is it important?</strong></p>
<p>By combining the aforementioned database with <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#machine">machine learning technology</a>, the team aims to discover novel biomarkers of Alzheimer’s disease, and use this to develop a <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor#cloud">cloud-based</a>, non-invasive and cost-effective platform for early diagnosis and monitoring using breath testing.  This would be a huge leap forward in dementia research and such early detection may enable more effective treatment.</p>
<p><strong>Glossary</strong></p>
<p><u><a id="invasive"></a>Invasive medical procedure</u> – Any surgical or exploratory activity in which the body is pierced by a device or instrument.<br />
<u><a id="massspec"></a>Mass spectrometry</u> – A chemical technique used to analyse the identity of compounds found in a sample based on the size to weight ratio of each molecule.<br />
<u><a id="amyloid"></a>β-amyloid</u> – Small proteins which aggregate to form amyloid plaques in Alzheimer’s disease. These plaques will eventually lead to the death of cells in the brain.<br />
<u><a id="tau"></a>Tau</u> – Proteins that stabilise a cell component known as microtubules. In Alzheimer’s and Parkinson’s disease these tau proteins are defective and no longer functional.<br />
<u><a id="clinical"></a>Clinical trials</u> – Trial to evaluate the effectiveness and safety of medications or medical devices by monitoring their effects on people.<br />
<u><a id="metabolic"></a>Metabolic process</u> – A biochemical processes (in a cell or organism) that are necessary for life.<br />
<u><a id="biomarker"></a>Biomarker</u> – Biological molecule that can be detected and measured in parts of the body, such as the blood.<br />
<u><a id="machine"></a>Machine learning</u> – A field of study concerned with the design and development of algorithms and techniques that allow computers to learn.<br />
<u><a id="cloud"></a>Cloud-based (technology)</u> – Computing services provided over the Internet (or "cloud").</p>
<p><strong>Further information</strong></p>
<p><a href="https://www.plymouth.ac.uk/staff/xinzhong-li" target="_blank" rel="noopener">Please click here for more information about the work of Dr Xinzhong Li.</a></p>
<p><a href="https://www.linkedin.com/in/stevepearson1/" target="_blank" rel="noopener">Please click here for more information about the work of Dr Stephen Pearson.</a></p>
<p><a href="https://www.plymouth.ac.uk/staff/emmanuel-ifeachor" target="_blank" rel="noopener">Please click here for more information about the work of Prof Emmanuel Ifeachor.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/plymouth-university-dr-xinzhong-li-dr-stephen-pearson-prof-emmanuel-ifeachor/">Dr Xinzhong Li, Dr Stephen Pearson &#038; Prof Emmanuel Ifeachor &#8211; University of Plymouth</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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		<title>Dr Evie Stergiakouli &#8211; University of Bristol</title>
		<link>https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 19 May 2016 11:21:00 +0000</pubDate>
				<category><![CDATA[Pilot Projects]]></category>
		<category><![CDATA[University of Bristol]]></category>
		<guid isPermaLink="false">https://www.alzheimers-brace.org/?p=954</guid>

					<description><![CDATA[<p>Using genetics to identify dementia risk factors (2016 - 2017).</p>
<p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli/">Dr Evie Stergiakouli &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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			<span class="fl-heading-text">Dr Evie Stergiakouli</span>
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			<span class="fl-heading-text">Pilot Project: University of Bristol, 2016</span>
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	<p>Using genetics to identify dementia risk factors.</p>
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	<p><span style="color: #000080;"><em>See glossary at bottom of page for definition of underlined words.</em></span></p>
<p><strong>Summary</strong></p>
<p>This study seeks to provide consistent evidence for the <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#riskfactor"><u>non-genetic risk factors</u></a> which lead to dementia. A genetic study will take place using information provided by the Avon Longitudinal Study of Parents and Children (ALSPAC). This will allow analysis of many traits including early life lipid levels, blood glucose levels, behaviour and level of cognition to see their effects on Alzheimer’s disease. Understanding early life risk factors involved in dementia will help inform preventative methods – something which is of paramount importance as there is no current cure for the dementia.</p>
<p><strong>What do we already know?</strong></p>
<p>Most of the evidence on the role of <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#riskfactor">non-genetic risk factors</a> for Alzheimer’s disease (AD) has been from observational studies in adults. These studies have suggested that <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#cardiovascular">cardiovascular</a>, <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#anthropometric">anthropometric</a> and <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#cognition">cognitive</a> factors may be involved in the development of late-life AD, but the findings are conflicting. <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#confoundingfactor">Confounding factors</a>, such as cardiovascular disease or socioeconomic factors, may result in biased estimates of associations between risk factors and AD. In addition to potential confounders, bias due to <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#reversecausation">reverse causation</a>may also occur in <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#epidemiology">epidemiological studies</a> of AD risk factors, making it difficult to establish the direction of effects (for example whether the hypothesised risk factor causes AD, or is a consequence of the disease). Consequently, there is currently no consistent evidence for environmental risk factors which can be modified to decrease the risk of AD. Genetic variants, identified from large genetic studies, are a useful tool for researching the causes of AD if they are used as proxies for potential risk factors. This is because genetic variants are randomly assigned at conception for each individual and they cannot be influences by the disease or confounding factors.</p>
<p><strong>What is this project trying to find out?</strong></p>
<p>We will investigate 1) whether there is a shared genetic component between AD and early life <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#lipid">lipid </a>levels, <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#glycemic">glycaemic</a>, anthropometric, behavioral and cognitive traits, and 2) whether any of these environmental risk factors are causally related to AD.</p>
<p><strong>How will they do this?</strong></p>
<p>The Avon Longitudinal Study of Parents and Children (ALSPAC) is a large cohort study of mothers and their children, for whom <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#longtudinal">longitudinal information</a> on behavioural, cognitive and psychiatric outcomes has been collected at multiple time points. Blood samples have also been collected to measure levels of blood markers such as lipids and glycaemic traits. Genetic data are available on more than 9,000 mothers and their children.  Using these genetic data we will calculate genetic predictors for each individual in the ALSPAC study (mothers and their children) and investigate the genetic overlap between AD and plasma lipid levels, anthropometric and cognitive traits for both children and their mothers. To infer causality for environmental risk factors of AD, we will use <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#randomisation">Mendelian randomisation</a>; genetic variants will be used as proxies for <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli#modifyableexposures">modifiable exposures</a> and the causal association between these and AD will be estimated.</p>
<p><strong>Why is it important?</strong></p>
<p>Understanding early life risk factors will provide insight into potentially effective screening and preventative methods. As no cure exists for Alzheimer’s disease and pathological changes can occur more than two decades before the onset of symptoms, the identification of early life modifiable risk factors is of immense public health importance.</p>
<p><strong>Glossary</strong></p>
<p><u><a id="riskfactor"></a>Non-genetic risk factors</u> – Behaviours that may increase your chances of getting a disease that are not effected by the genetic makeup of the individual (eg. Exercise, diet etc.).<br />
<u><a id="cardiovascular"></a>Cardiovascular</u> – Of or relating to the heart and blood vessels.<br />
<u><a id="anthropometric"></a>Anthropometric</u> – The physical differences between humans.<br />
<u><a id="cognition"></a>Cognition</u> –The mental process of knowing, including aspects such as awareness, perception, reasoning, and judgement.<br />
<u><a id="confoundingfactor"></a>Confounding factor</u> – A confounding factor is something that cannot be controlled for but may effect the overall result of a study.<br />
<u><a id="reversecausation"></a>Reverse causation</u> – This can occur when people change their diet or other lifestyle factor after developing a disease. It is best explained using an example: When lifelong smokers develop lung cancer, they may quit smoking – this change may make it seem as if ex-smokers are more likely to die of lung cancer than non-smokers. This is clearly not true and is an example of reverse causation.<br />
<u><a id="epidemiology"></a>Epidemiological studies</u> – A study which seeks to understand the factors that determine the presence or absence of diseases.<br />
<u><a id="lipid"></a>Lipid</u> – Any chemical compound that is not soluble in water but soluble in organic solvents. Such compounds include fats, oils and sterols.<br />
<u><a id="glycemic"></a>Glycaemic (Glycemic)</u> – A reduction of the levels of glucose in the blood.<br />
<u><a id="longtudinal"></a>Longitudinal information</u> – A type of study which involves repeated observations of one thing over short or long periods of time.<br />
<u><a id="randomisation"></a>Mendelian randomisation</u> – A method for measuring variation of genes and their effects on disease onset that control for reverse causation and confounding factors.<br />
<u><a id="modifyableexposures"></a>Modifiable exposures</u> – Risk factors (or exposures) of a disease which can be modified (eg. diet, level of exercise).</p>
<p><strong>Further information</strong></p>
<p><a href="http://www.bristol.ac.uk/dental/people/evie-stergiakouli/index.html">Please click here for more information on the work of Dr Evie Stergiakouli.</a></p>
<p><a href="http://www.bristol.ac.uk/social-community-medicine/people/emma-l-anderson/index.html">Please click here for more information on the work of Dr Emma Anderson.</a></p>
<p><a href="http://www.bristol.ac.uk/social-community-medicine/people/laura-d-howe/index.html">Please click here for more information on the work of Dr Laura Howe.</a></p>
<p><a href="http://www.bris.ac.uk/social-community-medicine/people/george-davey-smith/index.html">Please click here for more information on the work of Prof George Davey Smith.</a></p>
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</div><p>The post <a href="https://www.alzheimers-brace.org/university-of-bristol-dr-evie-stergiakouli/">Dr Evie Stergiakouli &#8211; University of Bristol</a> appeared first on <a href="https://www.alzheimers-brace.org">BRACE Alzheimer&#039;s Research</a>.</p>
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