The effect of intermittent hypoxic and hypercapnic protocols on cerebral blood flow regulation at rest and exercise

Sleep apnea causes involuntary stops in breathing during sleep, up to 400 times a night. About 24 per cent of men and 9 per cent of women experience sleep apnea symptoms. People with this condition are at greater risk for stroke. Normally, we take in oxygen when we inhale and expel carbon dioxide when we exhale. During an apnea episode, breathing temporarily stops, so oxygen is not taken in and carbon dioxide accumulates. When this occurs, blood vessels in the brain expand due to an increase of carbon dioxide in the brain, which leads to an improvement in blood flow reducing the chance of brain damage from insufficient oxygen. However, this mechanism becomes less sensitive with a repeated lack of oxygen or exposure to higher than normal levels of carbon dioxide. Jordan Querido is investigating the combined effect of low oxygen and high carbon dioxide to determine which plays a greater role in decreasing the expansion of blood vessels and increasing the risk of stroke. Querido will also examine whether these repetitive exposures lessen the blood vessels’ ability to dilate during exercise, when extra oxygen is needed. An exercise program is often prescribed for sleep apnea patients, as most are overweight. This research will help to clarify whether patients are at greater risk of stroke during exercise, with the goal of designing safe exercise rehabilitation programs for sleep apnea patients.

Identification of Enterohaemorrhagic Escherichia coli (EHEC) effector protein binding partners in host intestinal epithelial cells

Certain strains of Escherichia coli (E. coli) bacteria can be harmful and cause disease; other strains are harmless and live harmoniously with their host. In fact, harmless strains of E. coli colonize the human intestine shortly after birth and survive there. In contrast, the disease-causing strains produce a wide variety of infections, including meningitis, urinary tract infections and intestinal infections. Enterohaemorrhagic E. coli (EHEC) colonizes the small intestine and induces severe bloody diarrhea. It is a significant cause of illness and death worldwide. EHEC attaches to the surface of cells lining the intestinal walls. These epithelial cells have microvilli, which are small finger-like projections that increase the surface area available to absorb water and nutrients. EHEC causes flattening of microvilli, which enables the bacteria to bind tightly to the intestinal cells and inject effector proteins into the interior of the host cell where they disrupt normal host cell processes and cause disease. Seven novel EHEC effector proteins have been identified and the mechanisms of their function are unknown. In her research, Stephanie Shames is working to identify host proteins in epithelial cells that are targeted by the seven novel EHEC effector proteins and to describe the interaction that occurs between these host and bacterial proteins. This research may provide important insights into how EHEC causes diarrhea which, in turn, could lead to the development of better methods of treatment and prevention, with world-wide benefits.

Exploring emotional awareness using real-time fMRI

Depression is a devastating disorder affecting approximately 1.4 million Canadians and 121 million people worldwide. While there have been many advances in depression treatment, a high rate of depression relapse remains. Numerous studies have shown that depression is associated with rumination, the tendency to dwell on thoughts and emotions. Since the majority of these thoughts and emotions are negative, rumination leads to a lower mood state. Rumination involves the difficulty of regulating emotional awareness as individuals become excessively aware of their negative emotions. A better understanding of the process of regulating emotional awareness in healthy individuals is therefore needed to address this problem in individuals suffering from depression. Rachelle Smith is exploring the regulation of emotional awareness in healthy individuals by making use of real-time functional magnetic resonance imaging (fMRI). This novel method, which has been successfully used in research on regulation of pain and sadness, enables participants to receive immediate feedback regarding the level of activation in a selected brain region as they engage in emotional awareness and perceptual awareness. Smith hopes her research will not only lead to an increased understanding of the regulation of emotional awareness in healthy individuals, but more importantly, provide a necessary framework for future studies in individuals suffering from depression. Ultimately, it could lead to new treatments for depression that allow individuals to gain increased control of their emotional awareness.

Dopamine and Risky-Decision Making

Parkinson’s disease is a neurodegenerative disorder that arises when a substantial number of dopamine-producing neurons deteriorate. The loss of these cells results in a number of brain regions receiving less than the normal amount of dopamine (DA). In addition to the motor symptoms of the disease, many patients with Parkinson’s disease exhibit difficulties with cognitive tasks. Patients can take a variety of drug therapies that increase DA brain levels or directly stimulate DA receptors in order to alleviate motor and cognitive symptoms. However, recent studies have shown that a number of patients with Parkinson’s disease have developed pathological gambling, which appears to be related to the DA agonist drug therapy they are taking. The gambling symptoms appear after the induction of (or increase in) the dose the DA agonist medication and disappear when the medication is decreased or halted. Jennifer St. Onge is researching the link between pathological gambling and increased DA activity in the brain by studying how risk-based decision making is altered by manipulations of DA transmission using experimental animals. Her research will help clarify whether pathological gambling and risk taking behaviour observed in some patients with Parkinson’s disease is the result of DA agonist drug therapy. This study may facilitate closer monitoring of drug doses and the development of novel drugs that could treat motor symptoms of the disease without altering decision making.

Evaluating the inclinometer as a novel approach to estimate spinal compression for epidemiological and occupational field studies of back injuries

Almost 200,000 thousand workers are hurt on the job every year in BC. The majority of incidents involve musculoskeletal injuries, with back injuries accounting for approximately 25 per cent of all work claims. To reduce the occurrence of back injuries, we need a better understanding of the aspects of a job that are associated with the risk of injury. Most research is done with a small sample of workers in a controlled test environment. However, in order to have representative and generalizable results about the risk of injury, researchers require exposure data on large numbers of individuals at work so that relationships can be observed. To do this, they need accurate, inexpensive and easy-to-use tools to take out into the field. Spinal compression is a major risk factor for back injury. Robin Van Driel’s research is investigating the potential of estimating spinal compression by using an inclinometer (usually used for posture analysis), instead of the traditional electromyography method, to measure spinal compression among workers in five heavy industries in BC. By developing a better understanding of the work factors associated with the risk of injury, this research will help reduce the large personal and economic burden associated with low back disorders, and could be applied to many other occupational groups with similar risk factors.

Identifying the Pro-Survival Actions of Glucose-Dependent Insulinotropic Polypeptide on the Pancreatic Beta Cell

Diabetes is a rapidly growing worldwide epidemic. It’s estimated that by 2030, more than 366 million people will have the disease, many of whom will acquire additional conditions such as neurological dysfunction, kidney failure and cardiovascular disease. Between 90 and 95 per cent of diabetics have type II diabetes mellitus. This results in hyperglycemia and hyperlipidemia (high glucose and fat in the blood), which causes cell death in the beta cells that produce insulin. This further reduces insulin output, accelerating other conditions associated with diabetes. However, by increasing insulin secretion and promoting survival of beta cells, it should be possible to reduce or prevent the conditions associated with type II diabetes. Glucose-dependent insulinotropic polypeptide (GIP) is a gut-derived peptide hormone whose stimulatory actions enhance insulin secretion and inhibit beta cell death. However, the mechanisms by which GIP protects beta cells are unknown. Scott Widenmaier is studying the possibility that GIP prevents beta cell death by relieving the stress placed on the mitochondria, the cell’s energy producing machine. It is expected that this protective mechanism of GIP will provide key information regarding the effects of chronically-high glucose and lipids on beta cells in type II diabetics. This could lead to a novel class of therapeutics to prevent beta cell death, contributing to better health outcomes for type II diabetics.

Characterization of a dioxygenase and a hydrolase critical to persistence of Mycobacterium tuberculosis in the macrophage

Tuberculosis (TB) is a contagious illness of the respiratory system that is spread through coughing and sneezing. This chronic infectious disease is caused by a bacterial microorganism, Mycobacterium tuberculosis. This bacterium infects one in three people worldwide and claims the lives of two to three million people each year. The incidence of TB is on the rise due to the emergence of multi-drug resistant strains and escalating numbers of HIV-linked deaths. These alarming trends have led the World Health Organization to declare tuberculosis a global health emergency. Pathogenicity of this bacterium is due in part to its unusual ability to survive for long periods of time and to replicate in human immune cells. The mechanisms behind this persistence are poorly understood which is why Katherine Yam is investigating a number of genes essential to pathogenesis of M. tuberculosis. Studies recently revealed that some of these genes are involved in degradation of cholesterol — a source of energy for the bacterium during infection. Yam is studying two of these cholesterol-degrading enzymes, HsaC and HsaD, which help the bacterium survive in the human body. By designing inhibitors for these enzymes, the cholesterol-degrading pathway of M. tuberculosis can be blocked, which will reduce the bacterium’s ability to cause disease. These enzymes are excellent new targets for TB drug treatments as they are not targets of current drugs and thus will circumvent the problem of drug resistance in TB.

Characterization of Salmonella Type III effector: Host protein interactions and their contribution to immune evasion

Salmonella bacteria cause severe intestinal infection and diarrhea in humans. Millions of cases of Salmonella infection occur every year, predominantly in developing countries. However, salmonellosis is still a persistent problem in developed nations; young children, the elderly, and people with compromised immune systems are the most likely to have severe infections. Salmonella bacteria infect human cells and somehow manage to avoid activating the immune system from attacking them, allowing the bacteria to replicate. How these bacteria evade the host immune system response is poorly understood. Salmonella bacteria secrete proteins, called effectors, directly into the host cell through a needle-like channel. Dr. Amit Bhavsar is researching how these effectors bind to other host proteins in human cells; how the host proteins’ ability to function is affected; and how this enables Salmonella to evade the immune system. This research will result in a better understanding of how Salmonella bacteria evade the host immune system. It could also lead to new ways of restoring the immune system to fight infection, providing an alternative to conventional antibiotics, which have become less effective in the face of antibiotic resistance.

Imaging the Remodeling of Individual Synapses and Vessels in the Living Brain after Stroke

Stroke is the leading cause of adult disability, often rendering its victims with profound impairments in sensory, motor or cognitive function. Fortunately, many individuals experience some partial form of recovery over the ensuing weeks, months and years after stroke. This recovery of function is thought to be dependent on how well surviving brain cells (called neurons) and their connections adapt and form new circuits. However, the nature by which these neurons change in a living organism and the factors that regulate these changes, has not been determined. Craig Brown’s research is aimed at determining how the parts of the neuron that receive information (dendrites) and those that transmit information to other cells (axons) reorganize after stroke. Given that neurons are critically dependent on sufficient levels of blood flow to survive and flourish after stroke, he is also examining structural changes in brain blood vessels and their delivery of blood to vulnerable regions of the brain. He will then examine how therapeutic interventions, such as movement-induced therapies or sensory/electrical stimulation, influence brain reorganization. A better understanding of how the brain adapts to injury and the factors that regulate these process will pave the way for future therapies to optimize recovery of function after stroke.

Elucidation of the nature and biological importance of a novel calcofluor white-reactive surface polysaccharide of Campylobacter jejuni important in stress responses and in biofilm formation

Campylobacter jejuni (C. jejuni) is the leading cause of bacterial food poisoning. Infection with the bacteria leads to Campylobacteriosis, which causes diarrhea, fever, and vomiting. The disease can also result in more serious complications, including arthritis, inflammatory bowel disease, and paralysis. C. jejuni is transmitted from animals and birds to humans, where it causes infection. The exact mechanism of how it colonizes in humans and causes disease is unknown. C. jejuni is capable of surviving for long periods of time outside of a host, indicating that it must have several ways of dealing with the stresses associated with a less than ideal environment. Carbohydrate structures covering the surface of C. jejuni play an important role in interactions between the bacteria and its surroundings and may be involved in environmental survival, as well as in the host infection process. Dr. Emilisa Frirdich contributed to a study that identified a new C. jejuni cell surface carbohydrate (polysaccharide), which was found to be involved in C. jejuni stress survival and formation of biofilms (the layer of microorganisms that enables bacteria to adhere to a surface). Many bacteria produce biofilms to increase their ability to survive stress inside and outside of a host. Frirdich is investigating this cell surface carbohydrate to determine its nature, identify the gene products involved in making it, and characterize its biological importance. The research may lead to a better understanding of how C. jejuni causes disease, and ultimately contribute to development of an effective vaccine.