Summaries of MND Research Institute-funded research projects commencing in 2012:

In November 2011 the MND Research Committee approved grants to the following researchers to assist with their projects during 2012:  

 

Bill Gole Postdoctoral Fellowship for MND Research 2012 - 2014

Dr Shyuan Ngo

University of Queensland Centre for Clinical Research and School of Biomedical Sciences

Bill Gole Postdoctoral Fellowship for MND Research  2012 - 2014

Investigating the mechanisms underlying defective energy metabolism in motor neuron disease

 Motor neuron disease (MND) is an adult onset neurodegenerative disease.  In MND, the irreversible loss of cells in the brain and spinal cord causes muscle weakness, and leads to death within 3-5 years of diagnosis.  To date, the cause of MND remains unknown.  However, it is known that the production and use of energy is disrupted in subjects with MND.  This occurs before the onset of muscle weakness and muscle loss, and may therefore contribute to the onset and further development of the disease.  By understanding the cause and consequences of this change in the production and use of energy, we may be able to better understand this disease. 

This project will be the first comprehensive investigation of the impact of altered energy metabolism on the pathogenesis of MND.  The identification of metabolic factors that contribute to the onset and progression of MND will not only provide greater understanding of the processes that cause MND, but could lead to therapeutic interventions to correct defective energy metabolism, thereby possibly slowing disease progression, improving quality of life and alleviating the suffering of MND patients.

 

Grants-in-aid

Susie Harris Memorial Fund Grant

Dr Julie Atkin    

MND Research Group, La Trobe University, Victoria

Failure of ER-Golgi trafficking as a central mechanism of toxicity in motor neuron disease.

The diverse forms of MND all have similar symptoms and pathology.  Despite many studies into possible molecular mechanisms underlying neurodegeneration, definition of the primary mechanism still remains elusive.  We have exciting new evidence that the death of motor neurons occurs by the same basic cellular processes in different forms of MND.  This proposal aims to identify the initial trigger of these common disease mechanisms in MND.  Understanding these processes will enable the development of more effective therapies in the future.

 

Peter Stearne Grant for Familial MND

Dr Ian Blair

Northcott Laboratory, ANZAC Research Institute, NSW. 

Identifying and establishing the role of new MND genes in familial and sporadic cases.

The only proven causes of MND are gene mutations that lead to motor neuron death.  The fact that more than one MND gene has been identified to-date suggests that the disease involves multiple biological mechanisms.  These mechanisms remain elusive, with most genes yet to be identified.  Our preliminary studies indicate that we have identified mutations in new familial MND genes.  The aim of this proposal is to determine the broader contribution of these genes to MND and the role of the mutations.  Each new gene offers a unique opportunity to discover the mechanism leading to MND. Any new MND gene or protein will potentially be a new therapeutic target.  It will also add to existing genetic testing regimes (MND diagnostic laboratories, including ours, currently test SOD1, TDP-43 and FUS in MND but these only account for about 2% of cases) and be available for the development of tests for use in prognosis and in monitoring drug trials in mice and ultimately in clinical trials.

 

Mick Rodger Benalla MND Research Grant

Dr Tim Karl

Neuroscience Research Australia, NSW

A novel mouse model for motor neuron disease.

Motor neuron disease (MND, also known as amyotrophic lateral sclerosis, ALS) is a devastating neurodegenerative disorder caused by death of the nerve cells controlling the voluntary muscles.  MND patients experience a series of emerging symptoms including progressive limb muscle weakness, speech and swallowing difficulty and eventually respiratory failure.  The disease is often fatal within 2-5 years of diagnosis.  The majority of MND patient are sporadic, but approximately 10% of the patients have a family history.  The mechanism underlying MND is unknown.  Some environmental factors, such as prolonged exposure to neurotoxins and head injuries, have been proposed.  To date, gene mutations are the only proven causes.

The protein TDP-43 was identified as a major component of the protein clusters found in MND patient brains and spinal cords.  Blair and colleagues found several mutations in the TDP-43 gene from both sporadic and familial MND patients.  However, it remains unclear how these mutations cause MND.  Current studies suggest that these mutations may cause the protein TDP-43 to become toxic.  Our preliminary results suggest that introducing these mutations into nerve cells reproduces features seen in MND patients.  Mutated TDP-43 caused more nerve cell death than the normal TDP-43 gene.  We are now proposing to investigate the neuro-behavioural effects of one of the mutations (i.e. TDP-43M337V) in mice.  This will enhance our knowledge regarding TDP-43 function and its role in MND and answer the question why the mutation leads to selective toxicity in motor nerves.  Importantly, these mice can serve as a model for the development of diagnostic tools and treatments.

 

Charles and Shirley Graham MND Research Grant

Dr Pamela McCombe

The University of Queensland Centre for Clinical Research

MND: not a simple disease.

Patients with motor neurone disease vary in their clinical features, such as the site of onset of weakness and whether they have predominantly mixed or upper or lower motor neurone signs, and in the rate of progression of disease and in their length of survival.  We have developed precise measures of the rate of loss of upper and lower motor neurones, as well as blood biomarkers of neuronal death.  We will use these techniques to look in detail at a group of subjects with MND, to look at the relationship between loss of upper and lower motor neurones, the pattern of spread of disease from one site to another and factors such as the immune response and gender that could influence the rate of progression of disease.

 

MND Victoria Research Grant

Dr Eneida Mioshi

Neuroscience Research Australia, NSW

Cognitive and behavioural changes in MND: relation to clinical phenotypes and impact on carer burden.

MND was described as a pure motor syndrome in the past.  More recently, studies have shown that unfortunately this is not the case, with a great proportion of patients developing also cognitive (such as memory, judgement and problem solving) and behavioural (such as apahty, which is a type of lack of motivation not related to depression) problems.  These cognitive and behavioural changes seem to relate to worse prognosis, and the combination of these changes and physical disability compound to high levels of burden for carers.  We aim to investigate which MND presentations (limb or bulbar) are likely to cause changes in cognition and behaviour, which will help health professionals in making accurate prognosis and deliver tailored care.  We also aim to investigate the underlying changes in the brain behind these deficits, which could be addressed in drug treatments in the future.  Finally, we will study the contributions of physical, cognitive and behavioural changes to carer burden, in order to identify the main factors behind burden and address them adequately in services, websites and informative leaflets.

 

Graham Smith MND Research Grant

Professor Garth Nicholson

ANZAC Research Institute, University of Sydney

Sporadic MND: the contribution of genes, biomarkers & metabolites

Finding the cause of the common sporadic form of MND is proving extremely difficult.  Association studies involving thousands of sporadic cases has not found a cause.  However the study of MND families has been fruitful as a number of genes have been implicated and various mechanisms causing the death of MND neurones have been found.  The relevance of familial MND gene variations to sporadic MND now has to be determined.  Most of these gene variants cause only a small proportion of sporadic MND.  We propose that sporadic MND has many causes made up of particular gene variations which when strong cause rare familial cases and when weak, cause sporadic cases.  This application aims to find whether new gene variations that cause familial MND also cause sporadic MND.  To do this we wish to collect sporadic MND samples and test them for gene variations found in families with MND.  The project will also collect plasma samples to study the BMAA toxin and kynurenin pathway toxic catabolites in collaboration with MND researchers at the University of NSW and the University of Technology.  This work aims to continue the collection of vital blood samples for future research from sporadic motor neurone patients, commenced by Associate Professor Roger Pamphlett’s DNA bank which ceased sample collection this year.

 

Roth Foundation MND Research Grant

Dr Mary-Louise Rogers & Prof Robert Rush

Human Physiology, School of Medicine,  Flinders University SA

Improving targeted down-regulation of SOD1G93A in MND mice.

Motor Neuron Disease (MND) is an illness of nerves controlling muscles, which results in a creeping paralysis and death; there is no effective treatment.  We have developed a technology called immunogenes to enable antibodies to deliver genes into nerves.  We have also found that an antibody can increase the life span of the transgenic mouse that models MND.  The project combines this novel antibody and our immunogene technology to test the agent as a potential drug for the treatment of MND in mice.  Successful outcomes will encourage development of targeted treatments for MND in humans.

 

Mick Rodger Benalla MND Research Grant

Dr Bradley Turner  

Florey Neuroscience Institutes, University of Melbourne

Exploring the therapeutic potential of survival motor neuron protein for MND

Survival motor neuron (SMN) is an essential protein required by motor neurons and its loss causes the childhood disease SMA.  We recently showed that SMN levels were low in laboratory models of MND and patients with MND.  Treatment of MND mice with SMN was shown to prevent motor neuron loss, suggesting that SMN could have a protective role in MND.  We now wish to determine whether SMN is also effective in different animal models of MND looking at nerve injury and newly available TDP-43 mice. These studies will help confirm whether SMN should be considered an important player in MND and a potential target of interest for treatment approaches.

 

Connie's Step Forward for MND Research Grant

Assoc Prof Steve Vucic

Westmead Millennium Institute, University of Sydney

T cells: a vehicle for neuroprotection in ALS?

 Amyotrophic lateral sclerosis (ALS) is a progressive, fatal, neurodegenerative disease with most affected patients dying of respiratory compromise and pneumonia after 2 to 3 years; although occasionally individuals may survive for many years.  Recently, purification and injection of a specific type of immune cell was shown to delay disease onset and slow progression in an animal model of ALS.  Moreover this cell type appears to be dysregulated in human ALS.  These findings open up a new and exciting direction for potential treatment of ALS.  The goals of this study are to determine how the function of these immune cells relates to human ALS and its progression; and to determine whether a recently described treatment that boosts this cell type can delay disease progression in the animal model of ALS.

 

Zo-eč MND Research Grant

Dr Robyn Wallace

Queensland Brain Institute

Analysis of TDP-43 target genes in C. elegans

Protein tangles that aggregate in affected nerve cells are a pathological hallmark of MND.  Studies of MND patient cells have demonstrated that TDP-43 protein is a principal component of these nerve cell aggregates.  Genetic mutations associated with MND have also been identified in the TDP-43 gene.  However, the role of TDP-43 in the pathogenesis of MND remains unclear.  TDP-43 is involved in gene regulation and we have recently identified a number of genes that bind to TDP-43.  The aim of this project is to study the genes that are regulated by the TDP-43 protein in a living organism.  The nematode worm is widely used in neuroscience research because its well-characterised and less complex nervous system facilitates rapid analysis of nerve cell function.  The nematode will be used to analysis the role of TDP-43 target genes in motor neuron function.  These studies will improve our understanding of how abnormal TDP-43 causes MND and highlight cell processes that could be targetted for the future development of new therapies.

 

Terry Quinn MND Research Grant

Dr Anthony White

Dept of Pathology, University of Melbourne, Victoria

Targeting kinases to control TDP-43 and FUS accumulation in motor neuron disease.

 Motor neuron disease (MND) or amyotrophic lateral sclerosis (ALS), is a group of fatal adult-onset illnesses in which the function of motor neurons in the spinal cord and brain progressively deteriorates leading to death in 1-5 years.  Little is known about the cause of MND and there are no effective long term treatments.  Recently, the RNA-binding proteins known as TDP-43 and FUS have been found to cause most cases of genetic MND and are likely to have a critical role in sporadic cases.  In brain and spinal cord of MND patients, these proteins leave their normal location in the nucleus and accumulate in the cytoplasm causing neuronal cell death.  However, there is little understanding of how this abnormal process occurs.  Recently, using new cell culture models generated through generous support from the MNDRIA we have been able to recapitulate these processing changes in neuronal cells.  Our key finding has been that cell signaling kinases such as JNK and ERK have a critical role in controlling cytosolic accumulation, abnormal processing and aggregation of TDP-43 (initial steps in neuronal death).  In the present study, we will investigate how activation of key cell signaling kinase pathways control cytosolic accumulation and toxicity of both TDP-43 and FUS in neurons and identify novel targets for inhibition of abnormal protein accumulation using kinase inhibitors.  These studies will open up a completely novel area of therapeutic treatment for MND and related neurological diseases.

 

Rosalind Nicholson MND Research Grant

Professor Mark Wilson

University of Wollongong

Protein aggregation and chaperones: key players in MND

 The motor neurone disease amyotrophic lateral sclerosis (ALS, hereafter simply referred to as MND) is a currently untreatable disease that attacks nerves controlling voluntary muscles.  It usually occurs in adults and has an appalling prognosis, commonly leading to loss of muscle control and rapid death within a few years of onset.  Current evidence strongly suggests that inappropriate aggregation of protein molecules is a primary contributor to MND pathology, however there is very limited understanding of the molecular processes involved and the role of chaperones (the usual defence against protein aggregation).  This current application forms a part of a larger project (pending Project grant application 1022564 currently under review at the NHMRC), and will (i) identify and quantify proteins in the insoluble protein deposits found in human MND spinal cord tissues, thereby identifying new genes important in MND, and (ii) screen the effects of a range of chaperones on the aggregation and toxicity of TDP-43 (one of the proteins already known to be present in MND deposits and implicated in causing disease), both in vitro and in cell models.  The larger project will also screen the effects of these chaperones in transgenic Drosophila (fruit fly) expressing TDP-43, where we have already shown that expression of a chaperone can protect against loss of locomotor activity and extend life.  The new knowledge this project generates will be critical for the future development of new diagnostics and effective therapies for MND.

 

MNDRIA/NHMRC co-funded PhD Scholarship 2012 - 2014

Recipient to be announced soon.

 

PhD top-up grant 2012 - 2014

Recipient to be announced soon.

 

Grants awarded in previous years continue in 2012 for:

Dr Catherine Blizzard

Menzies Research Institute, University of Tasmania

Bill Gole Postdoctoral Fellowship for MND Research 2011 - 2013

Investigating the cause of site-specific excitotoxicity in ALS.

Motor neuron disease is caused by a loss of function of the nerve cells controlling the muscles.  This loss of function of the nerve cells may be due to over excitation of nerve cells, either at the muscle or at the site of the nerve cell bodies, the spinal cord.  I aim to explore these two possibilities on the toxic site leading to nerve cell degeneration.  This will enable the role that over excitation of the nerve cells could play in the disease progression to be determined.

 

Dr Rachael Duff

Western Australian Institute for Medical Research

Bill Gole Postdoctoral Fellowship for MND Research 2011 - 2013

The application of new generation genetic techniques to motor neuron disease.

The majority of MND patients have sporadic disease of unknown cause. However, for approximately 10% of patients, MND runs in families.  A number of genes causing this inherited MND have been identified, but for the majority of patients with inherited MND the causative gene is unknown.  In this project I aim to find the disease gene in MND families where it has not been identified.  I aim to use new genetic technology only available in the last few months.  I also aim to investigate genetic factors controlling which family members do or don’t get familial MND and to investigate genetic susceptibility in sporadic MND.  This research will allow accurate diagnosis and family planning for families with inherited MND, improve our understanding of the way the genes result in disease, and this will in turn provide information about possible routes to treatment for MND.

 

Dr Shu Yang

Northcott Laboratory, ANZAC Research Institute, NSW. 

Bill Gole Postdoctoral Fellowship for MND Research 2010 - 2012

Investigating the role of recently identified mutant genes in MND pathogenesis.

The disease mechanism underlying motor neuron disease (MND) is currently poorly understood, making the development of diagnostic tools and therapeutics difficult.  However, proteins that play fundamental roles in MND pathogenesis have recently been identified, providing new hope for understanding the cause of MND and development of therapeutic and diagnostic tools.  The 43 kDa TAR DNA binding protein (TDP-43) was recently identified as a signature component of the abnormal protein aggregates found in the brain and spinal cord of most sporadic and familial MND patients.  Our group identified several mutant forms of TDP-43 that appear to directly trigger neurodegeneration leading to MND (funded by a Bill Gole Fellowship to Dr Blair, 2006-2007).  We hypothesise that identifying the mechanisms through which rare TDP-43 mutations cause MND will be more widely relevant to understanding the cause of familial and sporadic MND.  We will establish novel TDP-43-expressing MND cell models and a transgenic mouse model to study the function of mutant TDP-43 protein. 

The significance of the proposed project includes a greater understanding of how mutant TDP-43 leads to protein aggregation and motor neuron degeneration in MND, as well as knowledge of the functions of other signature proteins in MND, such as FUS, that may provide new diagnostic and therapeutic targets.  The establishment of the TDP-43 transgenic mouse model may provide a better model to understand sporadic MND pathogenesis than the existing SOD1 transgenic mouse models. This model may also act as a useful platform for MND therapeutic development.

 

Dr Justin Yerbury  

Centre for Medical Biosciences, University of Wollongong

Bill Gole Postdoctoral Fellowship for MND Research 2009 - 2011

Probing molecular mechanisms of microglial and astrocyte activation in ALS.

This project combines unique expertise to perform truly pioneering studies to determine how a genetic defect in a protein, superoxide dismutase, affects immune processes implicated in motor neuron disease. Novel approaches will be used to study relevant molecular interactions, both in the test tube and in animal models. The outcomes will provide a new understanding of these processes and may contribute towards the ultimate development of new therapies.

Recent research suggests that a soluble factor in ALS CSF is toxic to motor neurones via both direct and indirect effects; the latter is thought to involve activation of microglial cells which secrete toxic mediators.  One potential soluble factor that may promote cell activation and neurotoxicity is extracellular mSOD1.  This project will provide significant insights into the mechanisms by which extracellular mSOD1 influences the development of familial ALS (fALS) pathology. We expect that the research outcomes will stimulate a high level of general interest resulting in publications in high impact international scientific journals and provide vital clues to possible new directions for therapies to combat fALS, for which there is currently no effective treatment.

 

Dr Jennica Winhammar

The Prince of Wales Medical Research Institute, NSW.

Bill Gole Postdoctoral Fellowship for MND Research 2008 - 2010

Clinical trial to assess the neuroprotective properties of a sodium channel blocking agent in motor neurone disease.

This project will provide clinical trial information related to the potential neuroprotective properties of a sodium channel blocking agent in patients with motor neurone disease. Specifically, it will establish whether the sodium channel blocking agent can slow disease progression.  A potential therapeutic response would provide impetus for a larger scale, multi-centre clinical trial. In addition to providing information about potential mechanisms of neurodegeneration and their treatment, new quantifiable measures will be further developed to objectively monitor MND patients in a clinical trials setting.