Intracellular calcium stores as master regulators of pancreatic beta-cell survival: studies on transplantable human islets and knockout mice

Canada has a growing diabetes epidemic, which costs the Canadian health care system an estimated $13 billion annually. More than two million Canadians have the disease, and by 2010, the number is expected to increase to three million. Diabetes is also a major health problem worldwide. Although diabetes can be treated with insulin, a cure for this devastating disease remains elusive. All forms of diabetes are associated with the loss of functional pancreatic islet cells. However, very little is known about the underlying factors controlling how and why pancreatic islet cells die. Dr. James Johnson recently discovered important networks of molecules that control survival of islet cells. For example, one such network includes the RyR2 protein, which controls the release of calcium in the cell, and the calpain protein, which can split other proteins in response to increased calcium. Dr. Johnson is comparing the role of this survival network to other molecular networks to investigate how pancreatic islet cells die. The research could lead to better therapies for diabetes, including more successful pancreatic islet transplantation, a promising experimental treatment that depends critically on the continued survival of the donated cells. The findings could also improve understanding of other diseases where calcium is involved in cell death, such as heart failure, Alzheimer’s disease and stroke.

Studies on rational treatment of Parkinson's disease

Parkinson’s disease is a chronic, progressive disorder that affects about 100,000 Canadians, at an annual cost of more than $2.5 billion. The disease involves loss of both brain cells and chemicals that modulate communications between brain cells – causing not only motor symptoms of tremor, stiffness, and slow movements but also cognitive and behavioural changes. Conventional drug therapy for Parkinson’s disease replaces dopamine in the brain. Although most motor deficits usually improve after therapy, more than 50 percent of patients (particularly those in the later stages of the disease) may develop difficult problems, such as involuntary movements, dementia and psychosis. Dr. Chong Lee is studying neural mechanisms of these complications, which are resulting from the disease itself or the chronic use of Parkinson’s drugs. Dr. Lee is also evaluating the effectiveness of neuro-protective treatment, a strategy to prolong the survival of injured cells and slow the progression of Parkinson’s disease. He ultimately aims to develop strategies to treat dementia and behavioural symptoms of the disease and to reduce or prevent treatment-induced complications in patients with Parkinson’s disease.

Role of the budding yeast kinetochore in chromosome segregation and checkpoint response

Cells must accurately duplicate their chromosomes (genes in the cell’s nucleus) and segregate them equally to daughter cells for proper cell growth and division. Errors in segregation results in cells with abnormal numbers of chromosomes (aneuploidy), which can lead to birth defects, Down’s syndrome and cancer. Cells have developed safeguards to ensure chromosomes are accurately segregated. A region of each chromosome called the centromere is bound by kinetochore proteins which attach to spindle microtubules, tiny fibres that pull newly separated chromosomes to each side of a dividing cell. If any mistakes occur in spindle attachment, kinetochore proteins signal the spindle checkpoint machinery, which delays segregation until the defects are corrected. Using yeast as a model, Dr. Vivien Measday is studying how kinetochore proteins attach to spindle microtubles and communicate with the checkpoint machinery. The research will improve understanding of chromosome segregation and could lead to treatments for diseases caused by abnormal numbers of chromosomes.

Identification of circulating cells with a myogenic potential

Degenerative diseases have an enormous economic and social impact on BC’s aging population. In the long term, identifying cells that could regenerate organs damaged by degenerative diseases could revolutionize how these conditions are managed. Care could shift from expensive, lifelong drug treatments to therapies that permanently restore organ function. Research suggests that bone marrow contains stem cells (precursor cells that have the ability to develop into cells specific to types of tissues) capable of repairing damaged tissues in adults. To efficiently use stem cells, however, the cells responsible for tissue repair must be identified from among the many cell types present in bone marrow. Dr. Fabio Rossi is identifying bone marrow cells that repair damaged muscle, exploring their characteristics and investigating how they repair damaged tissue. Findings could lead to therapies that efficiently restore organ function.

The public health impact of obstructive sleep apnea hypopnea – a focus on work productivity, occupational injuries and motor vehicle crashes

Sleep is an integral part of our lives. Inadequate or poor quality nightly sleep has many adverse health and safety consequences. The most important medical disorder that disrupts sleep is obstructive sleep apnea hypopnea (OSAH), a common, under-diagnosed condition characterized by recurrent collapse of the upper airway during sleep (up to 100 times per hour). Symptoms of the disease include loud snoring, nocturnal choking, poor quality sleep, recurrent awakenings, daytime sleepiness, impaired alertness, reduced quality of life, hypertension and strokes. Therapy to prevent the upper airway from collapsing can reverse many of these symptoms. Dr. Najib Ayas’s work is focused on investigating the pathogenesis, diagnosis, therapy, economic impact, occupational impact, public health, and safety consequences of sleep disorders, with a particular focus on OSAH. For instance, by developing a comprehensive registry of patients with OSAH, he hopes to determine whether patients with OSAH suffer from reduced work productivity and higher rates of occupational injuries and motor vehicle crashes; and whether therapy reduces these risks. Findings could then be used to develop screening and treatment guidelines for OSAH, and occupational and transportation policy recommendations. In the future, this unique registry will help identify biochemical cardiovascular risk, genetic and biochemical factors associated with OSAH.

Stigma, risk and protective factors among vulnerable youth

Adolescence is a time of promise, when major physical, cognitive and relational transitions launch the development to adulthood. But stigmatization in communities and schools can derail this process for certain teens. Teens who are more likely to be stigmatized include youth on the streets; those in foster care or custody; sexually abused youth; gay, lesbian, bisexual and transgendered youth; and indigenous and ethnic minority adolescents. As a result of being stigmatized, these youth are at greater risk for health problems such as drug abuse, HIV infection and teen pregnancy. As part of an international study taking place in Canada, New Zealand and the US, Dr. Elizabeth Saewyc is examining behaviours and environments that stigmatize youth in schools. Dr. Saewyc is studying the links between stigma and risk behaviours, and exploring protective factors that can reduce these risks and build resilience among youth. The findings will be shared with groups of teens and youth workers in the three countries to gather their ideas for reducing stigma, creating safer schools, and preventing substance use and risky sexual behaviours in culturally meaningful ways. The research could lead to interventions to reduce or prevent stigma, to help youth cope with stigma, and to foster healthy development among vulnerable young people.

Costs, access and equity under income-based Pharmacare

Following the February 2003 First Ministers Health Accord, the Canadian Government created a five-year $16 billion Health Reform Fund targeted to primary health care, home care and catastrophic drug coverage. The drug coverage is intended to ensure that Canadians with serious health conditions have reasonable access to necessary drug therapy. Standards for catastrophic coverage will be determined in the coming years, yet there is little evidence to guide the choice of standards. Dr. Steven Morgan is evaluating two possible options for basing standards: mixed pharmacare and income-based pharmacare. Dr. Morgan is studying the change in BC from a mixed program, which covered drug costs for low income seniors and social assistance recipients and charged a $1,000 deductible to all other residents, to an income-based system that enables people to pay a sliding scale based on income levels. Dr. Morgan is comparing data from both systems to results in Manitoba, which also has an income-based program. He is assessing the impact of both systems on cost, access and equity for people across the spectrum of socio-economic status, age and health status. The results could help guide the development of provincial and national policies for drug coverage programs.

Gap Junctional Hemichannels in Astrocytes: Regulation in Normal and Injured CNS

Gap junctions are connections between cells that allow free passage of ions and small molecules. Because ions can flow through them, gap junctions permit changes in membrane potential to pass from cell to cell in most body organs, including the brain. Gap junctions are key elements in cellular communication that are essential for normal embryonic development and function in adult organs. Combining his engineering background with more recent training in biochemical research, Dr. Francisco Cayabyab is using a number of research methods to investigate deficient levels of gap junctions and examine their regulation and function. He hopes this research will contribute to the development of new therapeutic strategies targeting gap junction proteins for certain neurological disorders, including stroke, epilepsy and schizophrenia.

Muscle metaboreflex during exercise in chronic obstructive pulmonary disease

Chronic Obstructive Pulmonary Disease is a progressive lung disease that causes breathing difficulties and chronic cough. Those affected often have weak arm and leg muscles that are easily fatigued, which can cause them to avoid exercise and adopt an inactive lifestyle. Dr. A. William Sheel’s research is directed at understanding how reduction in blood flow and oxygen during exercise leads to muscle fatigue and how different types of exercise affect the amount of fatigue. Results from his study will help explain why people with chronic lung disease become prematurely fatigued and could be used to design exercise rehabilitation programs to improve their health.

Chronic psychological stress and immune system dysregulation

Research has shown that chronic stress negatively affects health. One model suggests that chronic stress suppresses immune function, leaving people more vulnerable to infectious diseases and cancers. However, it doesn’t explain how stress affects conditions that result from over-activation of the immune system, such as autoimmune, arthritic and cardiovascular disorders. To investigate how stressors interfere with the immune system’s ability to turn itself off once activated, Dr. Miller is comparing the immune responses of two groups: parents with a severe chronic stressor (a child undergoing cancer treatment), and parents of healthy children. Results from the research could increase knowledge about the ways stressors affect health, including confirmation that one of the effects is interference with the immune system’s ability to turn off responses against bacteria. As part of this study, Dr. Miller is also examining whether supportive personal relationships act as a buffer against chronic stress.