Developing Multimodal Therapies for Brain Disorders

Developing Multimodal Therapies for Brain Disorders
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 97
Release: 2017-03-13
Genre: Medical
ISBN: 0309450268

Multimodal therapy approaches that combine interventions aimed at different aspects of disease are emerging as potentialâ€"and perhaps essentialâ€"ways to enhance clinical outcomes for patients with psychiatric and neurological disorders. In order to examine the general principles underlying multimodal therapies and to explore challenges, potential barriers, and opportunities for their development, the National Academies of Sciences, Engineering, and Medicine convened a workshop in June 2016. Participants explored scientific, clinical, regulatory, and reimbursement issues related to multimodal approaches and potential opportunities to enhance clinical outcomes for individuals with nervous system disorders. This publication summarizes the presentations and discussions from the workshop.

Enabling Novel Treatments for Nervous System Disorders by Improving Methods for Traversing the Bloodâ¬"Brain Barrier

Enabling Novel Treatments for Nervous System Disorders by Improving Methods for Traversing the Bloodâ¬
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 73
Release: 2018-05-29
Genre: Medical
ISBN: 0309473101

Despite substantial advances in developing treatments for the serious illnesses that affect people worldwide, there remains a tremendous unmet need in the treatment of complex neurologic diseases, including neuropsychiatric and neurodegenerative disorders. Chief among the challenges that have hindered the development of therapeutics for central nervous system (CNS) disorders is the bloodâ€"brain barrier (BBB). The Forum on Neuroscience and Nervous System Disorders of the National Academies of Sciences, Engineering, and Medicine convened a workshop to explore the challenges associated with the BBB that have thus far stymied development of CNS drugs, examine new technologies that could address these challenges, and highlight potential opportunities for moving the field forward. This publication summarizes the presentations and discussions from the workshop.

Advancing Gene-Targeted Therapies for Central Nervous System Disorders

Advancing Gene-Targeted Therapies for Central Nervous System Disorders
Author: Engineering National Academies of Sciences (and Medicine)
Publisher:
Total Pages: 80
Release: 2019
Genre: Electronic books
ISBN: 9780309495851

"On April 23 and 24, 2019 the Forum on Neuroscience and Nervous System Disorders convened a workshop titled "Advancing Gene-Targeted Therapies for Central Nervous System Disorders" in Washington, DC. This public workshop brought together experts and key stakeholders from academia, government, industry, philanthropic foundations, and disease/patient-focused nonprofit organizations to explore approaches for advancing the development of gene-targeted therapies for central nervous system (CNS) disorders, and implications of developing these therapies. Participants explored lessons learned from both successful and unsuccessful clinical development programs; new knowledge about the genetic underpinnings of brain disorders; the current status and future potential of gene-targeted therapies for CNS disorders; challenges and potential solutions for translating preclinical findings to approved therapies; and patient and caregiver perspectives. They also discussed what will be needed to develop these therapies for common disorders such as Alzheimer's and Parkinson's disease, as well as neuropsychiatric and neurodevelopmental disorders such as schizophrenia and autism. The workshop included approaches that target both DNA and RNA, as well as gene products using viral vectors, antisense oligonucleotides, and RNA interference. This publication summarizes the presentations and discussion of the workshop"--Publisher's description

The Development of Multimodal Imaging Probes for Visualizing Neuroinflammation in Alzheimer's Disease and Traumatic Brain Injury

The Development of Multimodal Imaging Probes for Visualizing Neuroinflammation in Alzheimer's Disease and Traumatic Brain Injury
Author: Erica M. Andreozzi
Publisher:
Total Pages:
Release: 2012
Genre:
ISBN: 9781267758309

Alzheimer's disease (AD) and traumatic brain injury (TBI) are two significant neurodegenerative diseases whose delayed diagnosis limits the possibility of treatment. Over 5.4 million Americans have AD, and this number is projected to increase to 115 million worldwide by 2050 as a result of people living longer. To date, absolute diagnosis of AD can only be made posthumously through confirmation of senile plaques in brain autopsy specimens; there are no clinical signs of AD apart from severe dementia and brain atrophy, which are only detectable at mid to late stages when neurological damage is already very pronounced. As with AD, TBI is also a leading neurodegenerative disease that continues to go undetected and undiagnosed, leaving ~80,500 TBI survivors with cognitive deficits that result in greater than $56.3 billion in U.S. annual costs each year. While there is evidence suggesting that such cognitive deficits can be improved through immediate rehabilitation and pharmacological intervention post TBI, the lack of diagnostic methods makes these therapies inadequate. Thus, there is great interest in developing a method for early diagnosis of AD and TBI so that necessary treatment options can be employed and chronic, irreversible brain damaged can be prevented. Having identified activated microglia (immune cells of the brain) as contributors to the post-injury neuroinflammation that follows both AD and TBI, we have developed a novel, multimodal imaging probe targeted to activated microglia as a means of non-invasively diagnosing these diseases before the onset of cognitive deficits. Focusing on the key role of microglia in AD and TBI pathology, we aim to use multimodal (PET/MRI/optical) imaging of microglia to for diagnosis and characterization of associated neurodegeneration in order to inform the design of possible drugs. We have synthesized and characterized a multimodal, biomolecular imaging probe, mal-BSA-DOTA(Gd/64Cu), that demonstrates targeting to activated microglia in vitro. The existence of the blood brain barrier (BBB), however, poses challenges for the delivery of this probe into the brain to evaluate in vivo targeting. While rat models of TBI are known to exhibit a compromised BBB, we needed to confirm this with imaging studies. Since AD animal models do no exhibit adequate BBB disruption, we investigated solid lipid nanoparticles (SLNs) as vehicles for brain delivery of our probe. Interested in positron emission tomography (PET) because of its high in vivo sensitivity and magnetic resonance imaging (MRI) because of its high in vivo resolution, we functionalized SLNs to evaluate their performance with PET and MRI. By incorporating a lipid chelator into the SLN architecture, we developed a method to radiolabel SLNs with 64Cu for noninvasive mapping of biodistribution with PET. Preliminary in vivo biodistribution of these SLNs (64Cu-SLNs) was evaluated in mice up to 48 hr post intravenous injection using PET, and these values were then compared to ex vivo biodistribution from gamma counting organs. An additional modification of the SLNs included the loading of gadolinium (1,4,7,10-tetraazacyclododecane)-1,4,7,10-tetraacetate (Gd-DOTA), a T1-weighted contrast agent, into SLNs in order to produce a new category of stable T1-weighted MRI contrast agents that can be modified for longer blood residence time, slow release of cargo, targeting, and multimodal functionality. Intracerebroventricular injection of these Gd-loaded SLNs into mice exhibited T1 contrast enhancement in vivo using T1-weighted MRI. By demonstrating the ability to functionalize SLNs for PET and MRI functionality, we believe that these nanocarriers can serve as stable, biocompatible vehicles for delivering microglial-targeted biomolecules to the brain for early diagnosis AD and TBI.

Magnetoencephalography

Magnetoencephalography
Author: Selma Supek
Publisher: Springer
Total Pages: 999
Release: 2014-08-07
Genre: Technology & Engineering
ISBN: 3642330452

Magnetoencephalography (MEG) is an invaluable functional brain imaging technique that provides direct, real-time monitoring of neuronal activity necessary for gaining insight into dynamic cortical networks. Our intentions with this book are to cover the richness and transdisciplinary nature of the MEG field, make it more accessible to newcomers and experienced researchers and to stimulate growth in the MEG area. The book presents a comprehensive overview of MEG basics and the latest developments in methodological, empirical and clinical research, directed toward master and doctoral students, as well as researchers. There are three levels of contributions: 1) tutorials on instrumentation, measurements, modeling, and experimental design; 2) topical reviews providing extensive coverage of relevant research topics; and 3) short contributions on open, challenging issues, future developments and novel applications. The topics range from neuromagnetic measurements, signal processing and source localization techniques to dynamic functional networks underlying perception and cognition in both health and disease. Topical reviews cover, among others: development on SQUID-based and novel sensors, multi-modal integration (low field MRI and MEG; EEG and fMRI), Bayesian approaches to multi-modal integration, direct neuronal imaging, novel noise reduction methods, source-space functional analysis, decoding of brain states, dynamic brain connectivity, sensory-motor integration, MEG studies on perception and cognition, thalamocortical oscillations, fetal and neonatal MEG, pediatric MEG studies, cognitive development, clinical applications of MEG in epilepsy, pre-surgical mapping, stroke, schizophrenia, stuttering, traumatic brain injury, post-traumatic stress disorder, depression, autism, aging and neurodegeneration, MEG applications in cognitive neuropharmacology and an overview of the major open-source analysis tools.

Photobiomodulation in the Brain

Photobiomodulation in the Brain
Author: Michael R. Hamblin
Publisher: Academic Press
Total Pages: 656
Release: 2019-07-13
Genre: Medical
ISBN: 0128153067

Photobiomodulation in the Brain: Low-Level Laser (Light) Therapy in Neurology and Neuroscience presents the fundamentals of photobiomodulation and the diversity of applications in which light can be implemented in the brain. It will serve as a reference for future research in the area, providing the basic foundations readers need to understand photobiomodulation’s science-based evidence, practical applications and related adaptations to specific therapeutic interventions. The book covers the mechanisms of action of photobiomodulation to the brain, and includes chapters describing the pre-clinical studies and clinical trials that have been undertaken for diverse brain disorders, including traumatic events, degenerative diseases and psychiatric disorders. Provides a much-needed reference on photobiomodulation with an unprecedented focus on the brain and its disorders Features a body of world-renowned editors and chapter authors that promote research, policy and funding Discusses the recent and rapid accumulation of literature in this area of research and the shift towards the use of non-invasive techniques in therapy

fMRI Neurofeedback

fMRI Neurofeedback
Author: Michelle Hampson
Publisher: Academic Press
Total Pages: 366
Release: 2021-10-09
Genre: Computers
ISBN: 0128224363

fMRI Neurofeedback provides a perspective on how the field of functional magnetic resonance imaging (fMRI) neurofeedback has evolved, an introduction to state-of-the-art methods used for fMRI neurofeedback, a review of published neuroscientific and clinical applications, and a discussion of relevant ethical considerations. It gives a view of the ongoing research challenges throughout and provides guidance for researchers new to the field on the practical implementation and design of fMRI neurofeedback protocols. This book is designed to be accessible to all scientists and clinicians interested in conducting fMRI neurofeedback research, addressing the variety of different knowledge gaps that readers may have given their varied backgrounds and avoiding field-specific jargon. The book, therefore, will be suitable for engineers, computer scientists, neuroscientists, psychologists, and physicians working in fMRI neurofeedback. Provides a reference on fMRI neurofeedback covering history, methods, mechanisms, clinical applications, and basic research, as well as ethical considerations Offers contributions from international experts—leading research groups are represented, including from Europe, Japan, Israel, and the United States Includes coverage of data analytic methods, study design, neuroscience mechanisms, and clinical considerations Presents a perspective on future translational development

Functional Neurologic Disorders

Functional Neurologic Disorders
Author:
Publisher: Academic Press
Total Pages: 684
Release: 2016-10-06
Genre: Medical
ISBN: 0128018496

Functional Neurologic Disorders, the latest volume in the Handbook of Clinical Neurology series, summarizes state-of-the-art research findings and clinical practice on this class of disorders at the interface between neurology and psychiatry. This 51-chapter volume offers an historical introduction, chapters on epidemiology and pathophysiolology, a large section on the clinical features of different type of functional neurologic symptoms and disorders (including functional movement disorders, non-epileptic seizures, dizziness, vision, hearing, speech and cognitive symptoms), and then concluding with approaches to therapy. This group of internationally acclaimed experts in neurology, psychiatry, and neuroscience represent a broad spectrum of areas of expertise, chosen for their ability to write clearly and concisely with an eye toward a clinical audience. This HCN volume sets a new landmark standard for a comprehensive, multi-authored work dealing with functional neurologic disorders (also described as psychogenic, dissociative or conversion disorders). Offers a comprehensive interdisciplinary approach for the care of patients with functional disorders seen in neurologic practice, leading to more efficient prevention, management, and treatment Provides a synthesis of research efforts incorporating clinical, brain imaging and neurophysiological studies Fills an existing gap between traditional neurology and traditional psychiatry Contents include coverage of history, epidemiology, clinical presentations, and therapy Edited work with chapters authored by leaders in the field, the broadest, most expert coverage available

Hands-On Machine Learning with R

Hands-On Machine Learning with R
Author: Brad Boehmke
Publisher: CRC Press
Total Pages: 374
Release: 2019-11-07
Genre: Business & Economics
ISBN: 1000730433

Hands-on Machine Learning with R provides a practical and applied approach to learning and developing intuition into today’s most popular machine learning methods. This book serves as a practitioner’s guide to the machine learning process and is meant to help the reader learn to apply the machine learning stack within R, which includes using various R packages such as glmnet, h2o, ranger, xgboost, keras, and others to effectively model and gain insight from their data. The book favors a hands-on approach, providing an intuitive understanding of machine learning concepts through concrete examples and just a little bit of theory. Throughout this book, the reader will be exposed to the entire machine learning process including feature engineering, resampling, hyperparameter tuning, model evaluation, and interpretation. The reader will be exposed to powerful algorithms such as regularized regression, random forests, gradient boosting machines, deep learning, generalized low rank models, and more! By favoring a hands-on approach and using real word data, the reader will gain an intuitive understanding of the architectures and engines that drive these algorithms and packages, understand when and how to tune the various hyperparameters, and be able to interpret model results. By the end of this book, the reader should have a firm grasp of R’s machine learning stack and be able to implement a systematic approach for producing high quality modeling results. Features: · Offers a practical and applied introduction to the most popular machine learning methods. · Topics covered include feature engineering, resampling, deep learning and more. · Uses a hands-on approach and real world data.