Cardiovascular disease (CVD) and osteoporosis are major health problems in North America. CVD is the leading cause of death of North American women, and one in four Canadian women over the age of 50 has osteoporosis. Once a woman reaches menopause, the risk for both osteoporosis and CVD increases substantially. Both diseases were thought to be independent consequences of aging. However, mounting evidence shows links between these diseases. For example, a widely used class of cholesterol lowering drugs, known as statins, reduces atherosclerosis (hardening of the arteries) and also increases bone health. Exercise may also provide the same health benefits, but more than 60 percent of Canadian women between 50 and 70 are not active enough to reduce their risk of heart disease or osteoporosis. Dr. Darren Warburton is studying the combined effect of statins and exercise on cardiovascular and bone health, physical fitness and quality of life. The research could provide important new information to help develop prevention and treatment programs for these diseases in post-menopausal women.
Program: Scholar
Access issues for Aboriginal people seeking primary care services in an urban centre
Access to primary care is problematic for large numbers of Aboriginal people in BC and other parts of Canada. Because of these difficulties, many Aboriginal people rely on hospital emergency departments for health care. Since emergency departments are not designed to provide comprehensive primary care, there are concerns about health outcomes and continuity of care for patients who rely on them. To plan effective, responsive services, more must be known about the ongoing use of the emergency department for health concerns that could potentially be addressed elsewhere. Dr. Annette Browne and a team of Aboriginal and non-Aboriginal researchers are exploring the factors and social contexts that influence access to primary care from the perspective of Aboriginal patients who seek care at the emergency department. Learning from the perspectives of Aboriginal peoples will be critical to the design of accessible, culturally safe, primary care services. Dr. Browne is also examining how interactions between Aboriginal patients and health professionals affect decisions about where to seek care. Findings from this research will be discussed with leaders in Aboriginal health, policy makers and health care planners to improve access to effective health care services involving Aboriginal peoples.
Neuropsychology of vision and eye movements
Nearly half of the human brain is involved in processing vision and eye movements. These functions can be impaired by strokes or brain tumours, as well as neurological disorders such as schizophrenia and autism. Using imaging technologies, experimental vision tests and eye movement recordings, Dr. Jason Barton is studying how neurological diseases disrupt the brain_s sensory and motor processing systems. Recognizing faces is one of the most demanding tasks for our visual systems, requiring both high-level perception and memory. Faces differ in only subtle ways in structure and shape, and the average person sees hundreds of faces in a day: despite this, humans are able to recognize faces effortlessly. Dr. Barton is studying how face perception is organized in the normal human brain, and how it is disrupted in patients with brain damage from strokes and surgery, and in those with Asperger_s disorder, an autism-like condition. Dr. Barton is also investigating saccades, rapid eye movements that shift our gaze toward a target and antisaccades, an unusual eye movement in which subjects look away from a suddenly appearing target. Performance on novel tasks like antisaccades can tell us something about how we exercise control over our responses to the environment. Abnormalities on such tasks can inform us about the problems with response control in conditions like schizophrenia. These studies will improve our understanding of these neurological disorders, how they disrupt visual processing, and lead to the development of future remedies.
Protein and lipid transport in health and disease: molecular mechanisms of endocytic sorting
Lysosomal storage diseases involve an inherited enzyme deficiency caused by genetic defects. Every cell has hundreds of lysosomes, which contain digestive enzymes used to break down complex cell components such as proteins into simpler components for the cell to reuse. In lysosomal storage diseases fatty substances called sphingolipids accumulate inside brain cells and cause progressive neurological degeneration and early death. Potentially, a lack of digestive enzymes may be the root cause. Recent research also suggests that the way the brain transports cholesterol may contribute to the damage associated with these diseases. The Saccharomyces cerevisiae yeast uses genes that are similar to those found in humans to control the transport of proteins and fats inside the cell. Dr. Elizabeth Conibear is identifying these genes in yeast and in mammalian cells. The research could help reveal ways to change the transport and storage of cholesterol and other lipids, which could lead to methods of preventing accumulation of fatty substances in the brains of children with these diseases. Developing a better understanding of how the cell transports cholesterol could also have important implications for treating adults with heart disease.
Synapse assembly and plasticity
In order to combat neurological disease and mental illness, a greater understanding of how the brain functions at the molecular and cellular level is needed. If we can learn how nerve cells form connections during development, we can develop therapies for regenerating connections following injury. Dr. Ann Marie Craig is leading an effort to understand how nerve cells form and modify synaptic connections. Her group uses a combination of fluorescence imaging, molecular biology, and electrophysiology to investigate how nerve cells communicate. By studying nerve cells growing in a dish, the scientists have already begun to identify molecular signals on the surface of nerve cells that induce contacting partners to form a synaptic connection. Mutations in one of these molecular cues has recently been linked to autism. Dr. Craig and her team are also studying how neurotransmitter receptors are localized and modified to control the strength of synaptic signaling between nerve cells. Given that synapses are the basic units of communication in the brain, the knowledge gained from understanding synapse development and modification has broad implications for the treatment of all neurological diseases and mental illnesses.
Structural studies of clinically-relevant protein-carbohydrate interactions
Thanks to new scientific methods, including use of high-speed computers, the search for ways to diagnose, treat and cure disease has changed greatly in the last 50 years. While chance discoveries are still important, new technology allows researchers to systematically probe the molecular nature of disease-causing organisms and the medicines being developed to treat them. X-ray crystallography is a technique to determine the three-dimensional structure of crystallized molecules. Dr. Stephen Evans is using the technique to study the interactions between proteins (such as antibodies and enzymes) with carbohydrates to learn about the atomic structure of these molecules. In one project Dr. Evans is investigating the antibodies responsible for inherited immunity to learn how the body reacts to new and emerging diseases. In another project he is investigating how a protein molecule can mimic a carbohydrate and be used to vaccinate patients against their own cancer. He is also examining how enzymes can be used to make new carbohydrates that can, in turn, be used as new medicines. Finally, Dr. Evans is developing a new version of his SETOR molecular graphics software that will enable researchers to reduce complicated molecular structures to simplified illustrations.
Bringing evidence to the patient
Asthma is becoming more common throughout the world. It is a major cause of hospitalization and an avoidable cause of death in a minority of patients. Dr. Mark FitzGerald, who has taken a leading role in developing national and international asthma guidelines, is evaluating new treatment strategies for asthma. These include drug therapies and strategies specifically designed for patients with near fatal asthma (NFA). In collaboration with other researchers, Dr. FitzGerald is also assessing how variations in asthma management affect outcomes. Tuberculosis (TB) is a global health problem that affects high risk groups in Canada, such as injection drug users and Aboriginal persons. Currently there is no way to determine an individual’s risk of developing active TB when the disease is latent, unless there are other risk factors such as HIV or diabetes. In collaboration with the Centers for Disease Control and Prevention in Atlanta, Georgia, Dr. FitzGerald is researching how to better identify those at risk of developing TB and investigating better strategies for the treatment and the prevention of TB. In the area of outcomes-related research, Dr. FitzGerald is the Director of the Centre for Clinical Epidemiology and Evaluation where he coordinates a multi-disciplinary group of investigators interested in the development, implementation and evaluation of evidence based interventions.
Molecular Basis of Campylobacter jejuni Infection
Campylobacter jejuni (C. jejuni) is the leading cause of bacterial food poisoning worldwide, infecting approximately 300,000 Canadians, three million Americans, and even higher numbers in developing countries each year. Most cases result from eating contaminated poultry; other causes include exposure to young animals and drinking contaminated water or milk. The bacteria cause severe bloody diarrhea, vomiting and fever, and can lead to more serious medical problems such as bowel disease, arthritis and paralysis. Compared to well-studied bacteria like E. coli and Salmonella, relatively little is known about how C. jejuni causes disease. Using new genetic tools, Dr. Erin Gaynor is identifying and characterizing C. jejuni genes involved in causing infection. She is examining the interaction between the pathogen and host cells to determine how the bacteria cause disease at the molecular level. Dr. Gaynor is also investigating why C. jejuni causes disease in humans when it harmlessly inhabits the intestinal tracts of many other animals, and how host systems respond to infection with the bacteria. This research may lead to a greater understanding of the mechanisms of pathogenesis for C. jejuni and contribute to the development of new treatments and potentially a vaccine to prevent infection from occurring.
Novel statistical methods for inference of associations between traits and SNP haplotypes in the presence of uncertain haplotype phase
A single gene can be solely responsible for certain genetic disorders. For example, only people who carry two defective copies of the CFTR gene develop cystic fibrosis. By contrast, complex genetic disorders such as cancer and diabetes likely involve a number of genes that increase susceptibility, and act in conjunction with lifestyle and environmental exposures to increase risk for developing disease. Most success in identifying single causative genes has been achieved by studying co-segregation of a trait with genomic regions in families. However, to tackle complex disorders, researchers have turned from family studies to population studies that investigate associations between a disease and variations in DNA sequences known as single nucleotide polymorphisms (SNPs). Blocks of SNPs, known as haplotypes, offer promise for identifying genes contributing to disease risk. For example, SNP haplotypes were used to help identify a predisposing gene for Crohn’s disease. The underlying idea is that similarity among haplotypes of affected individuals will lead to disease associations. Dr. Jinko Graham is developing improved biostatistical methods that account for haplotype uncertainty in analyzing these disease associations. The new techniques will eliminate inaccuracies associated with previous methods and could enable researchers to better evaluate genetic and environmental risks for conditions including diabetes, cancer and cardiovascular disease.
An in vivo model of abnormal neuronal circuit formation: the role of glutamatergic synaptic transmission in dendritic arbor growth and synaptogenesis
The causes of many brain diseases, such as epilepsy and schizophrenia, are unknown. Researchers such as Dr. Kurt Haas are exploring the possibilities that abnormal brain development in the prenatal stage may play a role. Using a powerful gene delivery technique, Dr. Haas is investigating how nerve cell activity contributes to brain development, specifically, the effect of altered levels (i.e. too much or too little) of activity on the structure and function of neuronal circuits. This research could lead to more specific and effective interventions to prevent abnormal circuits from forming during prenatal development, and also to treat adults with schizophrenia or epilepsy.