29.11.2012 Views

LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>LVR</strong>-KLINIKUM DÜsseLDORF – hOsPITaL OF The heINRIch-heINe UNIVeRsITY DÜsseLDORF<br />

Genetic principles <strong>of</strong> brain perfusion<br />

in Alzheimer’s Dementia<br />

C. Luckhaus, K. Fehsel in cooperation with H. J. Wittsack<br />

(Institute for Radiology <strong>of</strong> <strong>the</strong> <strong>Heinrich</strong>-<strong>Heine</strong> <strong>University</strong>,<br />

<strong>Düsseldorf</strong>) and <strong>the</strong> FMER-funded Competence Network on<br />

Dementia<br />

Project period: from 2007<br />

Financing: Sub-project within <strong>the</strong> FMER-funded Competence<br />

Network on Dementia (Funding No: 01GI0420)<br />

In an ongoing functional neuroimaging study, we were able<br />

to provide evidence for substantial changes <strong>of</strong> regional brain<br />

perfusion already at <strong>the</strong> stage <strong>of</strong> mild cognitive impairment<br />

(MCI), which appeared independently <strong>of</strong> regional atrophy<br />

and <strong>of</strong> <strong>the</strong> APOE epsilon genotype. We are now looking<br />

at <strong>the</strong> question <strong>of</strong> how far regional and global blood flow<br />

values are associated with functional variants <strong>of</strong> relevant<br />

candidate genes (endo<strong>the</strong>lin 1, IL1beta, PP2A activator, NF<br />

kappa B subunit B, KCNN3, NOS 3). Initial findings point to<br />

a specific association <strong>of</strong> two variants <strong>of</strong> <strong>the</strong> NOS3 gene with<br />

global brain perfusion in MCI and Alzheimer’s Dementia.<br />

It is planned to confirm this association and to test o<strong>the</strong>r<br />

associations with o<strong>the</strong>r candidate genes in a larger sample.<br />

Establishing a murine neuronal lesion model in vitro:<br />

investigations into <strong>the</strong> change <strong>of</strong> electrical spontaneous<br />

activity <strong>of</strong> neuronal/glial networks through physical and<br />

neurotoxic lesions<br />

U. Henning, P. Görtz, Ch. Lange-Asschenfeldt and C. Luckhaus<br />

Project period: from 2008<br />

Financing: Departmental research budget<br />

In relation to a possible regeneration <strong>of</strong> <strong>the</strong> central cellular<br />

organisation, investigations were carried out, published in<br />

<strong>the</strong> 1960s, into a paradigm shift proposing that neurons<br />

were able to regenerate constantly in <strong>the</strong> brain. New animal<br />

experiments show that neurogenesis can be stimulated by<br />

activating <strong>the</strong> brain, as well as by drug components. It is<br />

possible to measure <strong>the</strong> functional integrity <strong>of</strong> a neuronalglial<br />

cell association in vitro using multi-electrode array<br />

chip technology (MEA). The functional characteristic <strong>of</strong><br />

this cell model is <strong>the</strong> formation <strong>of</strong> electrical impulses, <strong>the</strong><br />

so-called “bursts”, which can be recorded using a special<br />

recording system. These bursts are quantifiable in relation<br />

to <strong>the</strong> number <strong>of</strong> bursts and <strong>the</strong>ir amplitude. This method<br />

appears to be very suitable for investigating <strong>the</strong> integration<br />

<strong>of</strong> embryonic stem cells (ES) into an electrophysiologically<br />

active cell association. The integration and, <strong>the</strong>reby, <strong>the</strong><br />

differentiation <strong>of</strong> ES, which are experimentally added into<br />

72<br />

<strong>the</strong> network, should influence <strong>the</strong> functional integrity <strong>of</strong> <strong>the</strong><br />

cell association and, <strong>the</strong>reby, <strong>the</strong> MEA-based recording <strong>of</strong><br />

network-evoked potentials (bursts).<br />

Our approach to <strong>the</strong> investigation <strong>of</strong> functional neurogenesis<br />

uses MEA technology to measure <strong>the</strong> activity <strong>of</strong> neuronal<br />

networks before and after <strong>the</strong> induction <strong>of</strong> lesions. The<br />

initial basic experiments will aim to define <strong>the</strong> threshold<br />

concentrations at which cellular damage occurs. A second<br />

phase will test whe<strong>the</strong>r drug components may prevent<br />

damage or result in <strong>the</strong> restoration <strong>of</strong> neuronal activity.<br />

Comorbidity <strong>of</strong> Alzheimer’s Dementia and Osteoporosis<br />

C. Luckhaus, B. Mahabadi, T. Supprian, K. Fehsel in<br />

cooperation with M. Jäger and H. Willenberg<br />

Project period: from 2006<br />

Financing: Departmental research budget<br />

Epidemiological and clinical disease course studies not<br />

only prove a comorbidity link between osteoporosis (Op) and<br />

Alzheimer’s Dementia (AD), but also a link with prodromal<br />

illness stages, such as cognitive decline und decline <strong>of</strong><br />

bone mineral density (BMD). In addition, several molecular<br />

factors, such as oestrogen, NO, ROS and intracellular<br />

signalling pathways, such as GSK-3, are documented as<br />

pathogenetically relevant factors in both illnesses. In this<br />

context, we are investigating biochemical factors <strong>of</strong> bone<br />

metabolism – which are quantifiable in blood plasma –<br />

in patients with Alzheimer’s Dementia, mild cognitive<br />

impairment, osteoporosis and healthy controls. This<br />

should lead to an answer to <strong>the</strong> question whe<strong>the</strong>r common<br />

pathogenetic factors underlie <strong>the</strong>se comorbidities. Initial<br />

findings already indicate significant differences between <strong>the</strong><br />

diagnostic groups, which point to asymptomatic, vitamin<br />

D-independent bone resorption and bone remodelling<br />

processes at <strong>the</strong> MCI stage. Specific markers <strong>of</strong> bone<br />

resorption will now be investigated. A cell-biological<br />

approach will address <strong>the</strong> question <strong>of</strong> whe<strong>the</strong>r <strong>the</strong>se and<br />

additional plasma factors altered in AD have an influence<br />

on <strong>the</strong> proliferation and differentiation <strong>of</strong> CD34-negative<br />

mesenchymal stem cells.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!