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KEEP IN MIND! A newsletter for friends and supporters of the Massachusetts Alzheimer’s Disease Research Center and The Memory Study. Visit us at: madrc.org SPRING / SUMMER 2020 VOL.8 ISSUE 1 A MESSAGE FROM OUR CHIEF It feels like eons since we’d last produced and train a wonderful set of Harvard students and junior another issue of our Center’s KEEP IN MIND colleagues each year, and often also get to host students newsletter, and we’ll like to thank everyone for from throughout our country and indeed, from Asia, their patience as we pull together the pieces of a Europe, Australiasia, South America and the Middle East lengthier newsletter this time around. each year. As you peruse this issue, you will be thrilled to This issue is of great pride to us, as it showcases some learn more about the awards & achievements of some of the talented students and scientists from all over the of these teammates who join us in our fight against world who travel to the MGH in order to train in our devastating brain diseases. labs and learn more about outstanding patient care. The accompanying image beside this message is taken from the front page of the October 3, 1996 issue of the Harvard Gazette and it is certainly an ‘ancient’ image of our Center’s Associate Director (Dr. Teresa Gomez-Isla) and I discerning brain-cell images in our lab during that era. Teresa was one of our first international trainees/ fellows who had travelled to our shores from Spain to engage in Alzheimer’s disease research for a few years before returning to Spain. It is indeed gratifying to see her come full-circle since that time, returning to MGH after becoming a leading clinician scientist in Europe, Photo Credit: https://news.harvard.edu/gazette/story/1996/10/ aging-brains-lose-less-than-thought/ to take on the challenge of serving as the Associate Director of our Center! We have had the honor to recruit Continued on the next page MORE INFORMATION WAYS TO GIVE If you would like to learn more about our For information about ways to support the clinical research studies, please call: 617.643.5200 or care, research, teaching and community health visit us at www.madrc.org activities of the Massachusetts ADRC, please contact Liang Yap at 617.726.3987 lyap@partners.org
A MESSAGE FROM THE CHIEF contribute to our growing collection of specimens in Continued from Page 1 our Center’s “biobank” in order to partner with us in this innovative research! To mirror and reinforce our efforts in training the next I know that many of us are concerned about developing generation of first-rate clinician-scientists, we held dementia in early midlife, right when we are still our inaugural “John H. Growdon, MD symposium” at providing for our families and actively engaged in our the MGH on November 25, 2019. The symposium is workplaces and our beloved communities. I would named in honor of Dr. John Growdon – the founder urge everyone to check out page 28 for a study (the of our Center and of the MGH’s Memory Disorders ‘HATCH’ study – yes, an acronym again!) led by Dr. Jill Unit (MDU) clinic and the MGH’s Movement Disorders Goldstein to identify the risks of developing Alzheimer’s Unit clinic. Dr. Growdon had welcomed and trained so disease in early midlife. A close MGH colleague of ours, many of our mentees since the beginning of memory Dr. Goldstein has led the federally-funded Clinical and dementia care at the MGH, and we all owe our Neuroscience Laboratory of Sex Differences in the Brain heartfelt appreciation to all the speakers, panelists and (www.cnl-sd.mgh.harvard.edu) for decades and she Keynote Speakers --- all trained by Dr. Growdon – who’d is an expert on sex differences in health and diseases associated with the central nervous system such as depression and its connection to heart disease. In past issues, we had sometimes showcased the talents of research participants and patients (when they permit us!) and in that tradition, we are honored to feature the works and life of novelist Shiao-Shen Yu in the centerfold of the newsletter. I am sure that you will enjoy learning more about her books! On the home front, I am certain that many of you have Photo courtesy of Dr. John Growden already met our wonderful Ambassador of Clinical Research – Judy Johanson. We had last featured a presented at the outstanding event. You can find out piece written by her in the Spring/Summer 2016 of our more about the symposium (and Dr. Growdon’s own newsletter and four years later, we again welcome her reflections!) on pages 40 & 41 of this issue! perspectives on her life-paths on page 36! Have you ever wondered about why we collect blood In closing, I want to thank each of you for being part samples and cerebrospinal fluid (CSF) from our research of the family – it is your dedication and effort that participants? Also, what is an “LP” (lumbar puncture)? makes it possible to do everything humanly possible These acronyms may or may not be found in the to help each other fight these diseases, and we take canned alphabet soups that we all enjoy now and then, great strength and comfort in coming together. All my but these are vital “biospecimens” that are collected to colleagues join me in saying “thank you”! hunt for specific “biomarkers” of dementia and related neurodegenerative disorders. Do learn more about LPs ~ Brad & CSFs from Dr. Pia Webb’s piece on page 29, and please 2 keep in mind!
KEEP IN MIND! A newsletters for friends and supporters of the Massachusetts Alzheimer’s Disease Research Center and the Memory Study SPRING/SUMMER 2020 VOL. 8 ISSUE 1 DIRECTOR, MASSACHUSETTS ADRC Bradley T. Hyman, MD, PhD Photo courtesy of commons.wikimedia.org/wiki/ CONTRIBUTING WRITERS Iman Aganj, PhD Alois Alzheimer (1864 –1915): “It was here in the years 1886/87 that he presented the disease named after him to the public for Rachel E. Bennett, PhD the first time in 1906 at the local psychiatric university clinic.” Simon Dujardin, PhD Maria Calvo Rodriguez, PhD IN THIS ISSUE Nancy Coppleman, BA Sudeshna Das, PhD Scenes and Celebrations Page 4 Jennifer R. Gatchel, MD, PhD John H. Growdon, MD Talent Spotlight Page 5 - 30 Jeanette M. Gunther, MS More about Lumbar Punctures Judith A. Johanson, BA by Dr. Pia K. Webb Page 29 Doo Yeon Kim, PhD Development of Clinical Algorithm Masato Maesako, PhD to Identify Risk for Alzheimer’s Disease Ayush Noori in Early Midlife Page 31 Derek H. Oakley, MD, PhD Words from a Novelist - Alberto Serrano Pozo, MD, PhD Ms. Shiao-Shen Yu Page 33 Ana C. Silva-Amaral, PhD A New Path Page 36 Pia K. Webb, MD, PhD Liang Yap, PhD Celebrations at the Inaugural John H. Growdon, MD Symposium! Page 40 GUEST WRITER Jill M. Goldstein, PhD Shiao-Shen Yu DESIGN AND PRODUCTION Teresita O. Olson, MBA
Scenes and Celebrations! with local communities, particularly those that have traditionally been underserved. We have worked very hard to build a welcoming path for research participants from all walks of life, along with their care partners. Much of our outreach involves education: increasing awareness about memory loss and aging in a conversational way, establishing rapport and being available to people wherever they may be. We do a lot of listening – Wonderful Nancy (seen second from the left) with community colleagues! the education process definitely goes both ways! I see outreach as connecting the dots, seeing how CONGRATULATIONS to Nancy one person can help another and finding creative Coppelman of our Outreach, Recruitment solutions to very real, often tragic problems. It & Education (ORE) Core --- on her receiving is an organic process similar to being a crafts the 2020 Partners in Excellence Award (category: person — weaving random threads into patterns Fostering Community). and relationships, creating a human design to “I see this award as a recognition of all my colleagues support the groundbreaking scientific work being at MADRC, MGH, CNY & BWH - all of us who work done at the Massachusetts Alzheimer’s Disease in outreach and recruitment. I think the award Research Center. My role is to be a welcoming acknowledges the importance of connecting presence at the door to this essential research.” MORE CELEBRATORY NEWS! by Liang Yap, PhD Much congratulations to Yakeel Quiroz, PhD of our ORE Core for receiving the MGH’s 2019 Ernesto González Award last Fall. Together with Martha Muniz – a clinical research coordinator of the Harvard Aging Brain study who had also receive the award – both are commended for their outstanding efforts to the Latino community! For more information, visit:: https://www. massgeneral.org/news/hotline/HTL100419/ Dr. Quiroz (L) and Ms. Muniz (R) with Dr. Gonzalez! Photo courtesy of MGH community-contributions
TALENT ANA CLAUDIA SILVA-AMARAL, PHD I am originally from Brazil, specifically from the state of Minas Gerais, the country’s storehouse of mineral riches (as indicated by the name). The state is the largest producer of coffee in the country (you’re welcome!) and an important contributor to farming and agriculture, which has pain. This was my introduction to study the brain. I joined Dr. Angela provided the ingredients to great neuroscience. I was fascinated by Ribeiro’s neuroscience and cognition food and drinks. My entire family is the possibility of using nutrients to laboratory at Universidade Federal in Brazil and yet, I have lived in the modulate neurotransmitters and de Minas Gerais (UFMG) as a US over the years on three separate help improve our patients’ quality research fellow and learned about occasions. When I was a child, we of life and I decided I wanted to molecular and behavioral deficits in lived in San Diego for one year “ thiamine deficient rats. At this time, while my mother was studying I contacted a researcher in Boston Psychology. Then back in Brazil, I who used a prenatal malnutrition took up volleyball and ended up I was fascinated by model that we were establishing at returning to the US to go to college the possibility of using UFMG. Through this contact I ended in Idaho on an athletic scholarship. nutrients to modulate up coming to Dr. Douglas Rosene’s After college I returned to Brazil neurotransmitters and laboratory at Boston University. In my and took up my graduate studies help improve our patients’ in Nutrition. During this time, I joined a multidisciplinary research group treating cancer patients “ quality of life and I decided I wanted to study the brain. PhD project I was able to combine my background in nutrition and my interest in the brain to investigate the long-term effects of prenatal who suffered from debilitating Continued on next page newsletter issue: winter spring 2020 5
protein malnutrition in the brain of adult rats. After having used animal models to study the brain, I decided to pursue research that utilized human brains and that was more courtesy of thebooksareonthetable.com Map highlighting Dr. Amaral’s hometown of Minas Gerais clinically relevant. I transitioned to a postdoctoral research position in Dr. Teresa Gomez-Isla lab at MGH. ECOR (“Executive Committee on I consider it a privilege to be part of Teresa’s expertise as a neurologist Research”)/MGH titled: “Selective this research community at MGH and has helped me design and conduct partial decrease of glycogen to personally handle such invaluable experiments that translate to human synthase kinase 3 beta (GSK-3β) brains daily. I am looking forward to disease. In her lab, I have worked diminishes tau phosphorylation, joining MGH faculty as an Instructor on two main projects: 1) I used a propagation, and formation of tau in Neurology soon, to continue transgenic mouse model to study aggregates in the mouse brain”. my work on Alzheimer’s disease the spreading of pathological tau Presenting the results of my work amidst other talented colleagues in the brain, and 2) my current to the MGH research community at the MassGeneral Institute for research focuses on deciphering was a truly rewarding experience Neurodegenerative Disease (MIND). the traits of resilience to Alzheimer’s and receiving the award a gratifying It seems like the third time was the pathology using post-mortem recognition for the hard work over charm and, after having been in human brain tissue. Earlier this year the past couple of years. the US for over thirteen years now, I received a Poster of Distinction I consider Boston my home away Award for a poster I presented at from home. 6 keep in mind!
TALENT DEREK H. OAKLEY, MD, PHD related dementias. I am using this group of iPS cells to perform the research in my AACSF fellowship under the mentorship of Dr. Brad Hyman, director of the MADRC, and Dr. Matthew Frosch, director of the MADRC neuropathology core. Broadly, the project will seek to understand how aggregated forms of the protein “Tau” effect neurons in Alzheimer’s disease. In Alzheimer’s disease, brain cells (neurons) become sick and develop aggregations of proteins within the I am a neuropathologist and undergraduate studies. To complete cell bodies. Tau, a protein normally post-doctoral fellow at the my MD and PhD degrees, I present in neurons, is the major Massachusetts Alzheimer’s moved to Columbia University in component of these aggregates. Disease Research Center New York City, largely due to its “ (ADRC). Recently, I was awarded strengths in neuroscience and the the Alzheimer’s Association Clinician emerging field of human stem cell Scientist Fellowship (AACSF) for my biology. Subsequently, I completed I am using stem cells project entitled “Tau aggregation anatomic pathology residency and derived from autopsy- and toxicity in patient derived iPS neuropathology fellowship at the confirmed Alzheimer’s neurons”. This research project Massachusetts General Hospital/ disease patients to create uses stem cells made from ADRC Harvard Medical School, where I personalized human brain bank donors to study the mechanisms of Alzheimer’s disease. I am originally from Glen Carbon, solidified my interests in dementia. At this time, I also began building a patient-derived cohort of induced a dish. “ models of the disease in Illinois, and attended Washington pluripotent stem cells (iPS cells) for University in St. Louis for my research in Alzheimer’s disease and Continued on next page newsletter issue: winter spring 2020 7
Photo courtesy of flickr.com The spread of tau aggregates is the neurons afterwards. Preliminary in neurons. Hopefully, this project thought to drive cognitive decline data suggest that human stem will help improve our understanding in Alzheimer’s disease. However, the cell-derived neurons may become of one of the major brain-changes scientific community does not have sick and die once tau aggregation that occurs in Alzheimer’s disease. a complete understanding of how has occurred - an observation It will also produce an experimental tau aggregates in neurons lead to that has not been directly seen system that can be used for many the neuronal dysfunction and death in animal models of Alzheimer’s future studies, including drug seen in Alzheimer’s disease. disease. During my fellowship, I will discovery. perform experiments to confirm I am using stem cells derived from Being a member of the group at the this observation and use patient- autopsy-confirmed Alzheimer’s MADRC and beginning this research specific stem cells to see if neurons disease patients to create project is a fantastic opportunity. derived from Alzheimer’s disease personalized human models of the I am thankful for the support of patients are more sensitive to tau disease in a dish. Our approach uses the Alzheimer’s Association and aggregates than those derived time-lapse microscopy to watch very grateful to the patients and from people without this disease. individual stem cell-derived neurons families that participate in and We will also attempt to determine in a dish over a period of up to one support this work. exactly which of the multiple forms month, to induce the formation of of tau seen in aggregates is most tau aggregates in these cells, and to responsible for the negative impacts then determine what happens to 8 keep in mind!
TALENT JENNIFER R. GATCHEL, MD, PHD Growing up in the idyllic central Texas hill country, I developed a love of Texas sports and BBQ and all things sun and summer. I also experienced firsthand, in my close-knit Italian family, the devastating impact of neurodegenerative disease: I witnessed my grandmother, an Italian immigrant and one of my primary caregivers, struggle with Dr. Marie A. Bernard (L) – Deputy Director of the National Institute on Aging at the National Institutes of Health – with Dr. Jennifer Gatchel (R) the movement and behavioral changes of Parkinson’s Disease. work, which led to the discovery Following my medical school and Seeking to better understand this of an insulin signaling pathway graduate school training, I went on disease process, and, ultimately, shared across affected brain regions to complete Psychiatry residency to be able to do more to help her in neurodegenerative disease, at Massachusetts General Hospital/ and others who were similarly further fueled my drive to develop McLean Hospital, and then the affected, I went on to pursue MD/ approaches to prevent or slow Harvard Medical School Geriatric PhD training in the Baylor College of neuronal degeneration. Together, Psychiatry Fellowship Program. Medicine Medical Scientist Training these early personal and scientific As I cared for older adults with Program. There, I worked with Dr. experiences were formative debilitating late life depression, Huda Y. Zoghbi, an extraordinary in motivating me to pursue a anxiety and memory disorders, I scientific and professional role career as a physician scientist in became increasingly interested model, and modeled mechanisms geriatric psychiatry, working at in determining mechanisms of neuronal death and dysfunction the interface of mental health and underlying these behavioral and in mice and in cells in a dish. This neurodegenerative disease. cognitive symptoms. Drawing Continued on next page newsletter issue: winter spring 2020 9
“ from my graduate school work, and there are few effective treatments. further motivated to investigate The goals of my BrightFocus project Although my grandmother these pathways in patients using were to determine the association ultimately lost her battle neuroimaging and fluid biomarkers, between mild psychiatric and with neurodegenerative I sought the guidance of a diverse disease, her memory, and behavioral symptoms, memory “dream team” of research mentors the motivation to help decline, and build-up of Aβ, tau, and at Harvard: Dr. Deborah Blacker, and Geriatric Psychiatrist and epidemiologist; Dr. Gad Marshall a Behavioral Neurologist with me today. “ other older adults like her, continues to drive brain pathway changes in normal older adults and those in the pre- Alzheimer’s and early AD stages. Results from this project, published expertise in neuropsychiatric in the Journal of Alzheimer’s Disease symptoms in Alzheimer’s Disease and JAMA Network Open, showed (AD); and Drs. Reisa Sperling and changes In AD. In AD, changes occur that in healthy older adults, mild Keith Johnson, leaders of the not only in a person’s memory and depressive symptoms are associated landmark Harvard Aging Brain thinking, but also in their mood with tau in two brain regions of Study, designed to identify the and behavior. Symptoms such as initial deposition in older adults. earliest signs of memory decline depression, apathy and withdrawal We also found that brain amyloid in otherwise healthy older adults. are common and distressing to influences the association between I additionally benefited from the patients and their families, and can depression and memory, such that mentorship of Drs. Brent. Forester be just as debilitating, if not more worsening depression over time is and Olivia Okereke (Geriatric so, than changes in memory and closely associated with declining Psychiatrists) and Dr. Steven Arnold thinking. These psychiatric and memory and thinking in those (Psychiatrist and Neurologist), all behavioral symptoms may occur with evidence of elevated amyloid. accomplished scientific mentors with very early in the disease process, in These findings from my BrightFocus diverse expertise in neuropsychiatric the “pre-Alzheimer’s” disease stage, project have implications for clinical disorders in older adults. when a person may have the AD trials in AD. Indeed, they suggest proteins, amyloid beta (Aβ) and that targeting behavioral symptoms These mentors have provided tau, in their brains, but before they could be a potential strategy to critical guidance as I learned clinical have developed overt signs of the prevent the clinical symptoms research principles. Working with disease. There is currently not a clear of AD, a hypothesis that merits them, I was additionally awarded a understanding of why and how testing in future work. To follow BrightFocus Foundation fellowship these debilitating psychiatric and up on these findings, I am now in 2016 to support my work behavioral symptoms occur, and carrying out an NIH/NIA K23 project investigating mood and behavioral 10 keep in mind!
Photo caption: Baylor College of Medicine, courtesy of www.desfollowupstudy.org examining associations among impact in the lives of patients (and being entertained) by my two mood, memory and pathology and their families, whether by Russian blue cats, Cosmo and Mr. in older adults with more severe promoting healthy brain aging and Whiskers. My love of Texas football depression. In recognition of these mental health, training the next and BBQ have persisted, but have efforts, in 2017 I was selected to generation of geriatric psychiatrists, broadened to include Boston receive the Outstanding Emerging or advocating for legislative action sports teams, and to sampling and Research Scientist award by the to support patients and families. I cooking a wide range of diverse BrightFocus Foundation, and in 2019, enjoy giving talks on these topics cuisines with family and friends, the Hartford-Jeste Award for Future in the community and to fellow including Italian recipes handed Leaders in Geriatric Psychiatry by the clinicians and scientists across all down through generations of my American Psychiatric Association. disciplines, and raising awareness, family. To balance this out, I am an which can translate into an overall enthusiast of personal training and Although my grandmother larger support network for patients fitness (running, interval training, ultimately lost her battle with and families. pilates, and yoga), fashion and style, neurodegenerative disease, her volunteering at my faith community, memory, and the motivation to While I have come a far distance the Paulist Center, and maintaining help other older adults like her, from the idyllic Texas hill country, steadfast pursuit of the most continues to drive me today. Indeed, Boston has become a second beautiful beaches near and far. my clinical research interests are home to me. When not carrying sub-served by a more fundamental out research, I enjoy entertaining desire to have an even larger newsletter issue: winter spring 2020 11
TALENT ALBERTO SERRANO-POZO, MD, PHD Hyman’s mentorship, I investigated the associations between cognitive decline and brain autopsy findings in patients with Alzheimer’s disease and age-matched healthy individuals. I am extremely grateful to our research participants for their generosity with our brain donation program; without this invaluable ultimate gift, we would not have the possibility of advancing the research on these terrible diseases. I was born and raised in received my MD in 2001 at the My scientific publications during Málaga, a mid-sized city in the University of Málaga School of this period (2008-2013) resulted in Southern Mediterranean coast Medicine and then completed my my PhD at the University of Seville of Spain. Professionally, it’s been 11 first neurology residency in 2006 at in 2013. Next, to become a board- fantastic years in the US, but I cannot the University Hospital Virgen del certified neurologist in the US and help missing Málaga sunny weather Rocío in Seville (Spain). During those caring for dementia patients while throughout the year, the amazing years, I became very motivated continuing my research program, food and, above all, my family. I try to specialize on dementias and I pursued a second neurology to go back home a couple of times decided to do a 2-year research and residency, which I completed at the every year to spend quality time with behavioral neurology fellowship University of Iowa in 2017. Lastly, my parents and siblings. at the same institution. I came to I returned to MGH to complete the US in 2008 attracted by the a second research and clinical I am a neurologist specialized in ground-breaking research being dementia fellowship, directed by memory disorders and a wet lab conducted by Dr. Brad Hyman at Dr. Teresa Gómez-Isla, and was researcher on Alzheimer’s disease our Massachusetts Alzheimer’s recently recruited to the MGH and related dementias. My career Disease Research Center. Under Dr. Memory Division Faculty. To be part path has been rather atypical. I Continued on page 14 12 keep in mind!
TALENT AYUSH NOORI There are few forces as powerful as the will to live – a stubborn conviction to keep breathing and to fight for the right to stand by your grandchild at his 17th birthday, high school graduation, and first day of college. This summer, I was witness to this formidable fortitude as my grandmother battled respiratory failure, a complication of end-stage Progressive Supranuclear Palsy (PSP). PSP is a rare and rapidly progressive fortunate to have the opportunity shared cellular pathways which neurodegenerative tauopathy which to participate in research efforts underlie neurodegeneration. This has afflicted my grandmother for at the Massachusetts Alzheimer’s project involved comprehensive the past decade. Though the disease Disease Research Center. Mentored computational analyses of diverse has rendered her unable to speak, by Dr. Sudeshna Das and Dr. Alberto datasets, with a plan to validate see, nor swallow, when I played top Serrano-Pozo, I am committed to these results in worm (C. elegans) hits of the 70s in her ICU room, my helping further enterprising research models of disease. To image the grandmother gripped my hand initiatives and seek to contribute worms and track their health and swayed her limbs to the beat to the effort to develop better and lifespan I built the WormBot, of the music. She was determined treatment options for patients with an open-source robot from the to dance. neurodegenerative disorders. University of Washington. For this research, I was happy to receive It is this unrelenting spirit which, Over the past year and a half, I 1st place in Biology at the New since 7th grade, has inspired have conducted a meta-analysis of Hampshire state science fair this me to pursue research in published human gene expression spring, and was a Finalist at the neurodegeneration. I am a rising data across Alzheimer’s disease, Lewy 2019 International Science and high school senior at Phillips body dementia, and amyotrophic Exeter Academy, and am deeply lateral sclerosis (ALS) to identify the Continued on page 15 newsletter issue: winter spring 2020 13
Continued from page 12 of this team of smart and dedicated clinicians and scientists is highly motivating. I have just been honored with the 2019 NACC New Investigator Award (NACC stands for National Alzheimer’s Coordinating Center and represents the consortium of about thirty Alzheimer’s Disease “ Photo courtesy of Eurail.com to the plaques and tangles My number one aspiration in the lab My number one that accumulate in the brain of is to help find the mechanism that aspiration in the lab is to Alzheimer’s disease patients, but fuels the progression of cognitive help find the mechanism whether this response is protective decline in Alzheimer’s disease, so that fuels the progression or deleterious remains unclear and is that we could eventually develop of cognitive decline in Alzheimer’s disease, so currently a hot topic in Alzheimer’s neuroprotective therapies to slow that we could eventually research. In this specific award- down or even arrest this decline. “ develop neuroprotective therapies to slow down or even arrest this decline. winning project, I have proposed to investigate further the nature of the astrocytic and microglial responses in Alzheimer’s disease by applying Next, I am planning to test the hypothesis that these glial cells are crucial to disease progression using Alzheimer’s mouse models. I feel a novel multi-staining technique on privileged to have the opportunity single human autopsy brain slices of developing my lab research Centers across the US). In my initial from our brain bank. This method program while caring for patients neuropathological studies, I had will allow a deeper profiling of these with dementing conditions at MGH made several intriguing observations cells with many more markers than memory clinic. supporting a role of glial (non- traditional staining methods (i.e. nerve) cells in the progression of more than 10 instead of 2 or 3) and a Alzheimer’s disease, therefore they better understanding of the effects became my research focus. These of plaques and tangles on these brain cells –called astrocytes and non-nerve cell types. microglia- are known to respond 14 keep in mind!
Continued from page 13 Engineering Fair (ISEF) in Phoenix, serve in the same role for young experience would find daunting! He AZ. ISEF is the largest pre-collegiate scientists who may not have access was fourteen. Though only in high science competition in the world, to the incredible resources I have school, Ayush quickly learned the and I was galvanized by sharing been offered. I plan to further my skills required to conduct research at my research with like-minded work by studying computational a post-graduate level. His meticulous peers engaged in pioneering neuroscience in college. Ultimately, work succeeded in identifying investigations across the frontiers though my grandmother may not molecular pathways dysregulated in of all disciplines of science. This live to see my first day of college, Alzheimer’s, Lewy body dementia, unforgettable experience has the stories and courage of patients and Amyotrophic Lateral Sclerosis. energized my resolution to continue like her will forever fuel my passion Ayush has consistently impressed “ to unmask the secrets for research and help ensure that me with his exceptional energy, our team of scientists will keep creativity, and motivation. He brings hunting for a cure. This promise of a humanitarian perspective to ...the stories and courage perseverance gives both her and I the work he conducts inside the of patients like her will hope, and for that, I am grateful. laboratory: he is driven by his passion forever fuel my passion for and personal investment in the for research and help Ayush approached me about a issues that he is addressing through “ ensure that our team of scientists will keep hunting for a cure. year and half ago when he needed help with analyzing data. His objective was to find a common gene-expression-signature for his research. I have little doubt that one day this young man will bring us closer to treating a disease that affects millions and for which there neurodegenerative diseases, an aim is currently no cure! – Sudeshna Das, that most of us with much more of neurodegeneration, and instilled PhD (mentor) in me optimism that the we, the next generation of scientists, will leave an enduring impact on patient care globally. I am indebted to Dr. Hyman and the Massachusetts ADRC for investing in the research endeavors of students like myself and am lucky to have selfless mentors like Dr. Serrano- Pozo and Dr. Das who have altered the trajectory of my research path. In turn, I hope to one day Photo caption: Philips Exeter Academy library designed by architect Louis Kahn newsletter issue: winter spring 2020 15
TALENT IMAN AGANJ, PHD My graduate research focused on electron microscopy and brain MRI, under Prof. Guillermo Sapiro’s supervision. I have always been fascinated by how different branches of science, engineering, and medicine came together to build a device that makes an image of my brain without opening my skull, and I was determined to be a part of the research community that keeps improving it. I joined Prof. Bruce Fischl’s Lab for Computational Neuroimaging as a postdoc fellow in 2011, where I am currently a faculty Dr. Aganj by the Niagara Falls member. Under his guidance, I managed to receive a pilot grant My name is Iman Aganj, from Mass. ADRC, which then led and I am a researcher at the to a 3-year Alzheimer’s Disease Martinos Center, Mass General Research grant from the BrightFocus Hospital, Harvard Medical Foundation. School. I was born and raised in The main purpose of the BrightFocus Iran, received my Bachelor’s degree grant project is the study of brain in Computer Science in France, and connectivity in Alzheimer’s disease. my Master’s and PhD in Electrical The human brain has complex Engineering from the University of structural and functional networks. Minnesota. Besides my research, Network-based analysis of brain I like watching movies, playing the white-matter connections is helpful piano, and hiking. 16 keep in mind!
“ indirect structural connections that information as possible from their may not have been considered by medical images, with the ultimate standard techniques. We recently goal of improving human health. My research is focused published our methods and results I have sought to apply theoretical on innovating technology (led by my postdoc fellow Dr. Aina ideas, such as deriving mathematical and developing new Frau-Pascual) in NeuroImage. formulas or designing algorithms, medical image analysis techniques, so researchers to health-related practical problems, I am working towards securing and clinicians can with the long-term goal of helping future funding for this project, so I extract as much useful ease patients’ suffering from diseases. “ information as possible from their medical images can continue working on imaging Alzheimer’s disease. Generally, my research is focused on innovating technology and developing new http://iman.mgh.harvard.edu medical image analysis techniques (and improving the ones that in revealing the structural changes already exist), so researchers and in aging and Alzheimer’s disease, clinicians can extract as much useful and in discovering biomarkers that are important for diagnosis and treatment. The goal of the project is to build on my background in brain imaging to develop new computational methods, especially those that take indirect neural pathways into account, and derive more accurate imaging connectomic biomarkers for Alzheimer’s disease, which will help us to better understand how the brain is affected in this disease. At the core of the project are new mathematical models to account for the brain’s courtesy of listia.com newsletter issue: winter spring 2020 17
TALENT MARIA CALVO RODRIGUEZ, PHD Dr. Maria Calvo Rodriguez (R) with her boyfriend, Juan del Pozo, in San Juan (Puerto Rico). I am currently a postdoctoral PhD in 2015 at the University of In 2016, I was very fortunate to research fellow in Dr. Brian Valladolid (Spain), my hometown join the group of Dr. Bacskai, an Bacskai’s laboratory at the university. The aim of my PhD internationally renowned expert Massachusetts General project was to identify intracellular in the field of intravital imaging. Hospital and Harvard Medical calcium alterations in healthy Currently, I use state-of-the-art School, in Boston. I have been aging and disease, specifically in microscopy techniques that fascinated by science since I was a neurodegenerative disorders such allow me to observe even the little kid. My interest in neuroscience as Alzheimer’s disease, using primary smallest subcellular structures and neurodegenerative disorders cells collected from rat brains. like a mitochondrion in the living was sparked when I started my pre- After receiving my PhD, I decided to mouse brain. My current research doctoral training. How connections focus my post-doctoral research on in the Bacskai group focuses on are made, how neurons establish translating the phenomena mitochondrial dysfunction in contact with other neurons, and that I studied in cells to a more Alzheimer’s disease, particularly in how everything is interconnected complex and integrated system, mitochondrial calcium dysregulation in the brain (neurons, glia, vessels…) the living brain. and associated oxidative stress and intrigues me. I completed my the neuronal cell death that occurs 18 keep in mind!
Postage stamp with image of the University of Valladolid. Courtesy of colnect.com in Alzheimer’s disease. Specifically, I Now, I want to continue with my use in vivo multi-photon microscopy research and extend these novel to study mitochondrial alterations findings to astrocytes, which to the BrightFocus Foundation in neurons in mouse models of are a relatively understudied cell for funding this project. My future Alzheimer’s disease. I was recently type, that potentially play a key aspirations are to establish and awarded the Junior Faculty Award at role in the pathophysiology of lead a group that develops and the International Conference Alzheimer’s disease. Malfunction applies translational technologies on Alzheimer’s and Parkinson’s in the regulation of mitochondrial to better characterize pathological disease that took place this last dynamics in astrocytes may reduce pathways in neurodegenerative March in Lisbon, Portugal, for the production of ATP, which may diseases, while performing impactful the project entitled “In vivo disturb glial-neuronal interactions complementary science focused mitochondrial calcium dysregulation and cause neuronal death. I recently on subcellular dysfunction in in neurons in a mouse model of received a BrightFocus Foundation Alzheimer’s disease, ultimately aimed Alzheimer’s disease”. Fellowship that will fund this project. at finding therapeutic targets to “ This study aims to find alterations in prevent this debilitating disease. the correct function and dynamics Out of the lab, I like practicing sports of mitochondria in astrocytes because it helps me relaxing and With this project I hope I during the development of the meeting lots of people. Back in can contribute my grain pathology of Alzheimer’s disease, Spain, I used to be a spinning and of sand and advance the with the final goal of identifying “ research towards finding a cure for this disease. new therapeutic targets. With this project I hope I can contribute my grain of sand and advance the aerobics instructor! Now my favorite activity in Boston is kayaking in the Charles river when the weather is good. I also enjoy making crêpes research towards finding a cure for breakfast on Sundays, going for this disease. I am really excited to Chinatown for dumplings, and about starting to answer these travelling to new places. questions and extremely thankful newsletter issue: winter spring 2020 19
TALENT MASATO MAESAKO, PHD Dr. Maesato with his wife Marie and daughters Emiri (l) and Sara (r). Multi-tasking (i.e. being an academic scientist and a good husband/dad) is truly challenging! Induced pluripotent stem (iPS) technical skills in molecular biology. on presenilin (PS)/γ-secretase cells technology was developed My work investigating the roles biology in the Dr. Berezovska in 2006 at Kyoto University/ of diet and exercise in Alzheimer’s lab since PS/γ-secretase is not Japan. In the same year at the disease (AD) mouse models only involved in many essential same place, I was an undergraduate resulted in a series of publications biological events (e.g., development, student and thus was lucky that support the beneficial roles neurogenesis, neuronal survival, enough to find how impressively of exercise. It was an honor to be etc.) but also plays significant roles this technology impacts scientific selected one of my first author in the broad range of diseases that community all over the world. This papers as The Journal of Biological are related to brain, skin, immune experience naturally inspired me to Chemistry Paper of the Year 2012. system, etc. Most clear link is with become a scientist. Alzheimer’s disease (AD) since In 2014, I moved to Dr. Berezovska dominantly inherited missense During my time as a graduate lab at MGH as a post-doc fellow mutations in the genes encoding student, I was trained by Dr. Ayae to learn cutting-edge techniques PS have been identified in the Kinoshita (who worked for Dr. in microscopy that include families of Alzheimer’s disease (FAD), Brad Hyman’s laboratory at MGH Förster resonance energy transfer highlighting its importance in as a post-doc/instructor and now (FRET) imaging and multiphoton AD pathogenesis. a professor at Kyoto University) microscopy. I have mainly focused and I could obtain broad range of 20 keep in mind!
Fushimi Inari Shrine, Kyoto. Photo courtesy of Glenn Taylor/ Flickr Dr. Berezovska’s strong expertise secretase within the cell. Fortunately, association with diseases (e.g., AD, has allowed me to recently develop I was able to receive the BrightFocus skin cancer, etc.). It could also enable and validate a novel FRET-based Foundation Fellowship, which a breakthrough needed for more biosensor that enables monitoring would support to 1) improve the efficient preclinical drug testing and PS/γ-secretase activity in real time. sensitivity of biosensor that we for a successful clinical trial design. PS/γ-secretase activity can be have recently developed to monitor My future endeavor is to develop color-coded and mapped over the PS/γ-secretase activity in cells and 2) new assays that are useful in entire image of a cell. Therefore, express and validate the optimized translational studies (i.g. drug our novel biosensor would permit biosensor in the brain of live mice. discovery and testing its efficacy to “visualize” the activity of PS/γ- Our novel biosensor(s) would allow in vivo) by utilizing my extensive “ for the first time to study dynamic experience in molecular biology behavior of endogenous PS/γ- and microscopy since I believe this secretase longitudinally in different would be crucial for the transition of My future endeavor is anatomical and subcellular regions to develop new assays findings from basic research to clinic. in living mice. Upon completion that are useful in At last, I am deeply grateful to the of this work, the proposed studies translational studies donors of BrightFocus Foundation will provide a necessary tool utilizing my extensive for better understanding of the who made this research possible. “ experience in molecular biology and microscopy dynamics of PS/γ-secretase and its newsletter issue: winter spring 2020 21
TALENT RACHEL E. BENNETT, PHD Dr. Bennett receiving an award from Mr. Art Taylor (CEO of the BBB Wise Giving Alliance) I grew up in Phoenix, Arizona researchers could make Alzheimer’s but sitting at the microscope one and have been interested disease changes visible. Being able day we happened to notice that in the brain since I took a to actually see the disease drove blood vessels in diseased brain high school field trip to a me to ask questions about the brain looked different than in healthy brain bank, which stores tissues works and specifically, what causes it brain. This observation set us on donated to research, similar to the to stop working in Alzheimer’s. a path to exploring new ideas Massachusetts Alzheimer’s Disease about how the brain (and not just I joined Brad Hyman’s Alzheimer’s Research Center at MGH. I remember neurons!) is altered by disease and disease research lab as a one of the scientists pulling out a I am increasingly fascinated by the postdoctoral fellow in 2014 to try to small microscope and a slide with incredibly interesting biology of answer some of these questions. I a tiny piece of cortex on it that brain vasculature. was drawn to the lab because Brad had been stained for Alzheimer’s is at the forefront of developing Blood vessels play an important disease plaques. On the slide we microscopy tools to help visualize role in supplying the brain with the saw neurons and cells packed changes taking place in the brain. oxygen and nutrients necessary to together with splotchy, plaque-like As a recent neuroscience graduate, keep neurons alive, and the blood protein deposits spread throughout I initially focused on neurons and vessels in your brain are unlike those the section. When I looked at it, it watching what happens to them found in other parts of the body. felt like an “ah-ha!” moment: using as Alzheimer’s proteins accumulate, Like neurons, blood vessels can also a few simple science techniques 22 keep in mind!
Identifying these important vascular changes has led to an innovative way of thinking about how we might treat Alzheimer’s — if we can find treatments that reduce inflammation and white blood cell “clogs” in brain vasculature we might be able to slow or prevent neuronal loss. This research was funded by the The Wave at Vermilion Cliffs, Arizona. BrightFocus Foundation and I Courtesy of Flickr was recognized as their 2018 Outstanding Emerging Scientist and in 2019 as one of three Donors Cure New Vision Investigators. In the future, I am excited to continue this research by testing drugs that are already FDA-approved to treat vascular inflammation to see if they might be effective in Alzheimer’s models. I am fortunate to be at MGH and have access to world- class collaborators in the Radiology Department who are developing Dr. Bennett being interviewed by Mr. Richard Liu of MSNBC new MRI and brain imaging methods that will help us identify individuals who might benefit from “ these treatments. It’s thrilling to see be affected by the same proteins a small observation turn into a full- that accumulate in Alzheimer’s, blown research project that has real which causes them to become Identifying these important vascular implications for helping in the clinic inflamed, changing their shape and changes has led to an and I’m looking forward to guiding recruiting white blood cells to their surface. Similar to clogging a pipe, these changes restrict blood flow vessels and could have devastating “ innovative way of thinking about how we might treat Alzheimer’s this project forward over the next few years. consequence to brain health. newsletter issue: winter spring 2020 23
TALENT SIMON DUJARDIN, PHD Dr. Dujardin receiving an award! I was born more than 30 to join an undergrad program of reactions. I think I really found my years ago in Belgium. After engineering in biotechnologies in way at that moment! I pursued spending 5 years there, we moved Paris and obtained a master there. with a PhD program in Lille and to France where I grew up near While I studied mostly genetics of started to study the dysfunction of the city of Lille! Lille is a quite nice hematology during my undergrad, i a protein called tau in Alzheimer’s and active city at the intersection wanted to join a program studying disease. After my PhD, I wanted of Paris, London and Brussels, all cell biology and physiology and to improve again and nothing linked by a high-speed train!! My therefore I did a second master better for that purpose than joining father is a nurse and my mother a in cell biology at the university Massachusetts General hospital / professor of neuropsychology at of Lille where I started to study Harvard Medical School! So I joined the university of Lille so I guess that neuroscience. Again, what struck the lab of Pr. Bradley Hyman, one I had a “background” for science me right away is the beauty and of the most prominent scientist but surprisingly, I really found a perfection of this network of cells worldwide working in Alzheimer’s, passion for science only in high all interconnected with specific here at MGH and continued to school when I realized how perfect functions. Reacting in microseconds study tau. I developed a project to and beautiful Life is! I decided then and all based on biochemical understand how tau dysfunctions 24 keep in mind!
progress through the brain and ultimately invade the whole brain killing neurons on its passage... more importantly we are trying to translate this knowledge in novel potential diagnosis and therapeutic tools. We actually had great results confirming our hypothesis that the progression of tau dysfunction in the brain is closely associated with cell death and disease progression in patients. We identified a specific species of tau that was particularly prone to Dr. Dujardin with Dr. Brad Hyman induce pathological formation. We also understood partially how this pathology spreads in the brain of patients. Finally, we try to tackle the formation of tau dysfunction by the use of antibodies and got promising results even if the way is still long before the translation to clinic. I got awarded a grant from the Alzheimer’s Association to continue and extend this work and I also obtained the junior faculty award from the Alzheimer’s disease and Parkinson’s disease international conference! I have now the ambition to extend these results and pursue other studies that we are currently developing in the lab. Long term, I wish I could settle a lab and continue to work in these passionating courtesy of londonupclose.com subject! But the way is still long! newsletter issue: winter spring 2020 25
Incheon fairtale village Incheon Chinatown Jajangmyeon Museum Jayu Park Courtesy of pngtree.com 26 keep in mind!
TALENT by DOO YEON KIM, PHD disease mechanisms, which seems to be much more challenging and interesting (to me) than general cell biology. I wrote a letter to Dr. Rudolph E. Tanzi and Dora M. Kovacs (mADRC faculty member) in early 2001. Rudy and Dora are top Alzheimer’s disease experts and extremely popular among Korean scientists. I was surprised (and happy) to get their response in Dr. Kim (with cap) with members of the ‘3-D culture’ team. Dr. Tanzi is a couple of days. They became by standing right behind Dr. Kim mentors and my journey towards a cure for Alzheimer’s disease started. I am a neuroscientist studying interest in science and engineering pathogenic mechanisms of made me to choose a track In 2014, we developed a three- Alzheimer’s disease. I was born toward science and engineering. dimensional (3D) human brain cell in Incheon, South Korea, a mid-sized I had entered the college as the culture model of Alzheimer’s disease city in the northern area, which is mechanical engineering major (a.k.a. AD-in-a-dish) (Choi et al. quite close to North Korea. Actually, but later switched to the biology, 2014). In a conventional cell culture my father was a refugee from North fascinated by complicated biological system, brain cells are growing Korea. He escaped to the South machineries that make the life exist. in two-dimensional surfaces as a before the Korean war. As many flattened single layer, which limits After getting Ph.D. degree in Korean parents do, my father and the recapitulation of 3D brain cell cell biology at Korea Advance mother scarified a lot for the better networks in human brains. Therefore, Science and Technology (KAIST), education of their children, my we created a 3D cell culture system South Korea, I had been looking brother and me. My father wished where human brain cells are growing for the best place to study me to study law, but my strong in 3D gels that are composed of neuroscience and neurological newsletter issue: winter spring 2020 27
brain matrix proteins. Interestingly, we found that 3D culture system was not only increasing brain cell interactions but also robustly accelerated toxic amyloid beta “ We soon realized that this unique 3D human Alzheimer’s disease brain cell culture disease. Recently, we have been awarded another NIH/NIA grant (1R01AG062547-01), together with Dr. Winston Hide (Beth Israel Deaconess Medical Center) to identify resilient accumulation and amyloid beta- system can provide an pathways for Alzheimer’s disease driven damages when we grew exciting cellular model patients using human brain human Alzheimer’s disease brain to study Alzheimer’s transcriptomic database and our 3D cells, which is the central pathogenic mechanism of Alzheimer’s disease. We soon realized that this unique “ disease in a dish. culture models. Our 3D Alzheimer’s disease brain models play a central role in these two projects. If the 3D human Alzheimer’s disease brain similar projects were performed cell culture system can provide an using mouse models, it would exciting cellular model to study cost much higher price and pose (Huston Methodist Hospital) to Alzheimer’s disease in a dish. potential ethical problem due to the screen ~2400 compounds including sacrifice of too many mice. Since then, we started multiple FDA-approved drugs for their collaborative projects around our efficacy in reducing pathological My goal of our studies, of course, human 3D Alzheimer’s disease markers of Alzheimer’s disease in is to find a cure for Alzheimer’s models. We have been awarded our 3D culture model. In this project, disease. I also hope that our studies grants from Cure Alzheimer’s Fund we are using bioinformatics tools contribute to develop more precise and NIH/NIA (1R01AG057635-01A1), to accelerate identifying additional and comprehensive human brain together with Dr. Stephen Wong candidate drugs for Alzheimer’s models that can be used to study various neurological diseases as well as Alzheimer’s disease. In line with this direction, we recently developed modified 3D Alzheimer’s brain models that mimics the brain inflammation (Park et al., 2018) and the deficits in blood vessels in Alzheimer’s disease patients (Shin et al., 2019). Of course, many challenges lie ahead. But I am optimistic and will continue my research path aimed at ending this horrendous disease. Dr. Kim (with hands waving) with members of Dr. Rudy Tanzi’s Genetics & Aging Unit’s members 28 keep in mind!
TALENT PIA K. WEBB, MD, PHD I joined ACTRU, the Alzheimer’s Clinical & Translational Research Unit, as a staff scientist last winter to work with the MADRC biobank and biomarker core. I am originally from Sweden and completed my medical and graduate degrees at the Karolinska Institute around the brain and spinal cord. test numbs the skin with a local in Stockholm before moving to CSF functions as a cushion or “shock anesthetic before inserting a thin the Cleveland, Ohio, to do a post- absorber” for the brain, but because needle between two of the lumbar doctoral fellowship. My intention it is in direct contact with the brain vertebrae into the lumbar cistern, a was to stay in the U.S. for four years, tissue itself, CSF reflects many of long sac containing CSF and some but I met my husband in Boston and the molecular changes taking place of the nerve roots extending below am still here 20 years later! locally within the brain in diseases where the spinal cord itself has like Alzheimer’s disease. These ended. CSF collection is a routine An important part of my current proteins and other molecules are not procedure in the clinical work-up position is to collect biospecimens detectable in more easily accessible of many brain disorders and LPs are such as blood and cerebrospinal fluids, like blood samples. commonly done in patients with fluid (CSF) that can be used to dementia to determine CSF levels investigate biomarkers, which are A small sample of CSF can be of Alzheimer biomarkers such as molecules that provide information obtained through a lumbar amyloid and tau. In research, we also about a disease or condition, in puncture, also called an LP or a measure many other brain proteins these samples. I am especially spinal tap. An LP is a relatively to detect if there is any inflammation, excited about working with CSF. We easy procedure that can be done metabolic abnormalities, or other all have about a pint of this crystal- without any special preparations. markers of brain cell injury. We learn clear fluid that circulates in and The clinician performing the Continued on next page newsletter issue: winter spring 2020 29
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