Alzheimer s Disease at UR From Bench to Bedside, From Molecules to Mind. M. Kerry O Banion Departments of Neuroscience & Neurology

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Alzheimer s Disease at UR From Bench to Bedside, From Molecules to Mind M. Kerry O Banion Departments of Neuroscience & Neurology

A Brief History of AD Research at URMC T. Franklin Williams, MD: Medical Director, Monroe Community Hospital (1968-83); National Institute of Aging (NIA) Director (1983-91); Scientific Director, American Federation of Aging (1992-2002) Paul D. Coleman, PhD: Director, UR Alzheimer Disease Center (1990-2004); Editor-in-Chief, Neurobiology of Aging (1988-2015) Howard Federoff, MD, PhD (1995-2007): Director, Center on Aging and Developmental Biology AD therapeutics and Early Diagnostic Markers Pierre Tariot, MD (1986-2006): Director, Memory Disorders Clinic Involved in multiple national clinical trials Berislav Zlokovic, PhD (2001-2011): Director, Frank P. Smith Neurosurgical Labs Multiple awards for work on neurovascular changes in AD

1. We haven t stopped aging Alzheimer s Association: 2016 Alzheimer s Disease Facts and Figures

2. We haven t cured Alzheimer s Despite 15 years of clinical trials aimed at amyloid-beta, the clearest cause of Alzheimer s, we have not identified a cure We know much more about genes and other risk factors for the disease: There are many more targets to go after With neuroimaging we can now track AD progression: Early diagnosis and therapeutic efficacy Perl, 2010 http://sph.berkeley.edu

3. Funding for AD research is rising Dec 2010: National Alzheimer s Project Act (NAPA) signed into Law In 2014, Alzheimer s Accountability Act created path for a Bypass Budget, first enacted in 2016 Federal AD Spending Millions of Dollars 1200 1000 800 600 400 200? Alzforum NIH-AD 2011 2012 2013 2014 2015 2016 2017 https://report.nih.gov/categorical_spending.aspx http://www.alzforum.org/news/community-news/proposed-2016-budget-boosts-alzheimers-funding-60-percent

Current AD Research at URMC Gail V. W. Johnson, PhD, Anesthesiology Understanding mechanisms involved in clearing tau from the cell Grants from BrightFocus Foundation and NINDS M. Kerry O Banion, MD, PhD, Neuroscience Modulating innate immunity to target amyloid beta and tau Effects of radiation on AD pathogenesis Grants from NIA and NASA Alison Elder, PhD, Environmental Medicine Effects of environmental particulates on AD pathogenesis Grant from NIEHS (Multi-PI with O Banion) Houhui Xia, PhD, Pharmacology & Physiology Role and regulation of protein phosphatase-1 in synaptic transmission and memory formation Grants from NIMH and NSF

Current AD Research at URMC Rashid Deane, PhD, Neurosurgery Brain clearance mechanisms for tau and ApoE Grants from NIA and NINDS Maiken Nedergaard, MD, DMSc, Neurosurgery, Center for Translational Neuromedicine Glymphatic contribution to amyloid and tau accumulation in AD Glymphatic contribution to small vessel brain disease Grants from NIA, NINDS, Cure Alzheimer s Fund, and Foundation Leducq

Current AD Research at URMC Charles Duffy, MD, PhD, Neurology Visuospatial disorientation in aging and AD Founder and CEO of Cerebral Assessment Systems, developer of Cognivue Grant from NEI Feng Vankee Lin, PhD, RN, School of Nursing Early markers of Alzheimer s disease and Supernormal Aging Neuroplasticity training for cognitive aging Grants from Alzheimer s Association, NIA, and NINR Anton Porsteinsson, MD, Psychiatry, Director of the Alzheimer s Disease Care, Research and Education Program (AD-CARE) Part of national trial networks including ADCS, ATRI, ADNI, DOD- ADNI and GAP-NET Major participant in clinical trials targeting amyloid-beta, betasecretase, agitation, apathy and memory loss in AD patients

Opportunities Current URMC Investigators are involved in a wide range of preclinical, translational and patient-oriented/clinical research projects NIA recently released 17 new AD RFAs and PAs; anticipate continued increases in funds committed to AD research How can we enhance AD research at URMC? Gather investigators to consider common areas for collaboration Focus on developing a PO1 grant Engage/Join Rochester Aging Research Center Other suggestions?