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Parkinson Society Canada National Research Program for 2002-2003 Cycle Granting period January 1, 2002 - December 31, 2003 OPERATING GRANTS Researcher: Friedman Grant Grimes, D.A. Name of Project: Parkinson's Genetics in a French-Canadian Population Institution: Ottawa Hospital Amount Year One: $30,280 (one year grant) Amount Year Two: n/a Total Awarded: $30,280 (one year grant) Lay Summary: The cause of Parkinson's disease remains unknown. For several decades, environmental factors were thought to be primarily responsible for causing the death of the cells that produce dopamine. However, recently investigators from around the world have identified specific changes in certain genes that cause the symptoms of Parkinson's in rare families. Currently, mutations in three different genes (alpha-synuclein, parkin and ubiquitin C-terminal hydrolase) have been identified and demonstrate the importance of genetic factors. I am interested in finding out how genetic factors contribute to the cause of Parkinson's disease. In collaboration with Dr. D. Bulman at the Ottawa Health Research Institute, we have been studying a large family where 13 individuals have bee affected with Parkinson's disease. We are looking for a novel gene mutation in this family and have narrowed down the area where the disease-causing gene is located. We are hopeful that we will be able to identify the fourth disease-causing gene mutation in the very near future. This proposal is directed at identifying the gene by collecting DNA samples from individuals who may harbour a similar genetic mutation as the cause of their Parkinson's. Identifying genetic changes in these rare families will provide important clues that will further our understanding of the possible mechanisms that cause Parkinson's disease. Furthermore, understanding these mechanisms will ultimately result in a cure. Researcher: Eldon Tanner/ Ruth Tanner Walker Doxey Grant Park, David S. Name of Project: Role of CDK5 in an MPTP model of Parkinson's Disease Institution: University of Ottawa Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Lay Summary: Parkinson's disease is a condition in which certain types of brain cells which make the neurotransmitter dopamine degenerate. The biochemical mechanism by which this occurs is unknown. We propose that one important activity which controls this process is a protein termed Ddk5. By using a mouse model of Parkinson's disease, we proposed to examine whether an increase in Cdk5 activity leads to and is required for the degeneration of neurons. By understanding this process, we hope to develop new therapeutic strategies for the treatment of this disease. Researcher: Dagher, Alain Name of Project: The control of dopamine release studied by positron emission tomography and 1 transcranial magnetic stimulation Institution: Montreal Neurological Institute Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Lay Summary: Dopamine is a brain chemical that plays a role in the control of movement and motivation. Neurons that make dopamine are damaged in Parkinson's disease, and the symptoms of the disease are caused by dopamine lack. The main treatments for Parkinson's disease aim to restore dopamine levels in the brain. The current project will attempt to study how dopamine is released by brain cells. In particular, an area of the brain called the cerebral cortex seems to play a role in regulating dopamine release. We will use a technique called transcranial magnetic stimulation (TMS) to induce electrical activity in the cortex. We will then measure the response of dopamine neurons to this electrical activity. To measure dopamine release we will use positron emission tomography (PET), a type of brain scan that can measure levels of dopamine inside the brain. We will compare healthy subjects to patients with Parkinson's disease. We hope that this method will be useful in 1) understanding more about he function of dopamine, and 2) eventually studying the efficacy of treatments aimed either at slowing the progression of Parkinson's disease, as well as treatments such as transplantation of stem cells, that aim to restore more natural levels of dopamine in the hope of better controlling the symptoms of the disease. Researcher: Sadikot, Abbas F. & Miller, Freda D. Name of Project: Anterograde Transport of Neurotrophins in the Noradrenergic System Influences Apoptosis of Midbrain Dopaminergic Neurons Institution: Montreal Neurological Institute Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Lay Summary: Parkinson's disease is a movement disorder associated with aging, characterized by progressive loss of nerve cells in a deep part of the brain called the midbrain. Cells in the midbrain that are lost in Parkinson's disease use the chemical messenger dopamine. We are investigating the factors that cause dopamine cells to die. Similar factors may cause loss of nerve cells in Parkinson's disease and during normal development of the midbrain. We propose that a group of cells in a deep part of the brain called the locus coeruleus produces a chemical messenger called brain derived neurotrophic factor (BDNF), that protects against loss of dopamine cells. We will investigate whether BDNF transported by the locus coeruleus to the midbrain has the ability to protect dopamine cells either from death that occurs from normal development, or death that occurs in adults in response to toxins. The experiments, which will be performed in mice, have direct relevance for human Parkinson's disease. Since the locus coeruleus degenerates in human Parkinson's disease, we theorize that the resulting loss of delivery of DNF to the midbrain makes dopamine cells more susceptible to environmental toxins, and contributes to progressive dopamine cell loss. Researcher: DiPaolo, Therese, Levesque, Daniel & Bedard, Paul Name of Project: Ligand-activated transcription factors in levodopa-induced dyskinesias Institution: Laval University Medical Centre (CHUL) and Laval University 2 Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Lay Summary: Levodopa therapy is the cornerstone of treatment of Parkinson's disease (PD). However, this therapy is often associated with development of abnormal movements called dyskinesias. These occur in between 30 and 80% of patients after chronic levodopa administration. They develop progressively and become worse with time. NGFI-B is a protein of the nuclear reception super family of transcription factors. Recent evidence suggests a close relationship between NGFI-B and dopamine systems. Indeed, modulation of dopamine transmission using agonists and antagonists dramatically influences NGFI-B expression. Thus NGFI-B represents a previously unexplored protein that may participate in the intracellular cascade of events induced by levodopa. We hypothesize that NGFI-B could play an important role in development of levodopa-induced dyskinesias in PD. The MPTP monkey is a well-characterized animal model of parkinsonism. We propose to compare NGFI-B in brains of intact monkeys with those of saline-treated MPTP-monkeys and levodopa-treated MPTP monkeys that developed dyskinesias. We will also investigate NGFI-B in human post-mortem brains obtained from Dr. Ali Rajput from Saskatoon. These include controls and Parkinsonians with or without dyskinesias. Investigation of NGFI-B in PD will improve our understanding of the pathophysiology of the disease and on the generation of side effects after levodopa therapy. Researcher: Hutchison, William D. Name of Project: Recordings of Movement-Related Neurons in Parkinsonian Patients During Movement Disorders Surgery Institution: Toronto Western Hospital Amount Year One: $40,000 Amount Year Two: $43,000 Total Awarded: $83,000 Lay Summary: Recently, there have been new surgical options for patients with Parkinson's disease (PD) that are poorly controlled with medication. Deep Brain stimulation (DBS) of the globus pallidus and subthalamic nucleus are currently the main procedures that can restore normal function and ease the burden of disease. During these surgeries we record the activity of individual brain cells in the region in order to localize the target for placing the electrodes. We will examine the response properties of neurons as the patient makes sequential movements of the hands to push buttons on a board. They will be requested to memorize the sequence and press the buttons after a delay or simply push the buttons one at a time as they light up. This task will give us an idea of where in the nucleus the neurons are located that are responsible for automatic motor control, and provide specific details on their function in the control of movements. The proposed studies will provide new knowledge about the function and organization of these important motor nuclei and allow us to optimize our neurosurgical procedures for PD. 3 BASIC RESEARCH FELLOWSHIPS Fellow: Hassani, Oum Kaltoum Field of Training: Neurosciences Institution: McGill University Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Fellow: Van Kampen, Jackalina M. Field of Training: Neuroprotection & Neurogenesis in Parkinson's Disease Institution: Dalhousie University Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Fellow: Scoggan, Kylie Field of Training: Genetics of Parkinson's Disease Institution: University of Ottawa Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 Fellow: Postuma, Ron Field of Training: Correlation of Clinical Course of PD with Genetic Causes of Parkinsonism Institution: University of Toronto Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 BOEHRINGER INGELHEIM CLINICAL MOVEMENT DISORDERS FELLOWSHIP Fellow: Kraft, Scott Field of Training: Pathogenesis of Motor Fluctuation and Genetics in PD Institution: Movement Disorders Clinic, University of Calgary, Foothills Medical Centre Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 4 CLINICAL RESEARCH FELLOWSHIP Wherrett Clinical Research Fellowship Fellow: Huang, Zhigao Field of Training: Pathogenesis of Motor Fluctuation and Genetics in PD Institution: University of British Columbia Amount Year One: $45,000 Amount Year Two: $45,000 Total Awarded: $90,000 5