CBR Research Grants

Project Summaries—2002

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200820072006200520042003—2002—2001200019991998199719961995

Investigation of Fixation Techniques for Spine Stabilization
Robert Gao, Ph.D., Mechanical & Industrial Engineering, UMass Amherst
Scott Cowan, M.D., New England Orthopedic Surgeons
K. Francis Lee, M.D., Biomedical Technology, Baystate Medical Center

The objective of this research is to investigate the effects of several anterior fixation techniques on lumbar spine stabilization, and establish a preliminary but systematic biomechanical evaluation procedure. Rigid spine fixation is of critical importance to the clinical outcome of spinal surgery and patient care, and an in-depth understanding of the attributing mechanisms has significant impact on the fundamental aspects of spinal rehabilitation.

Effective date – September 1, 2002

Development of a Novel Cell Encapsulation System through the Evaluation of a Model Cell Line and Formulation of Biocompatible Materials
Susan Roberts, Ph.D., Chemical Engineering, UMass Amherst
Surita Bhatia, Ph.D., Chemical Engineering, UMass Amherst
Stuart Chipkin, M.D., Endocrinology, Diabetes & Metabolism, Baystate Medical Center

The encapsulation of cells/tissues in suitable matrices with retention of viability and metabolic functionality has extensive clinical applications and is likely to play a major role in cell and transplantation therapies over the next decade. A successful implant is comprised of cells or tissue surrounded by a biocompatible matrix permitting the entry of small molecules such as oxygen, nutrients and electrolytes; exit of toxic metabolites, hormones and other small bioactive compounds; while excluding antibodies and T cells, thus protecting the encapsulated cells/tissue. Systems of this type are currently being evaluated for the treatment of a variety of disorders (e.g., type 1 diabetes mellitus and kidney failure). Several key issues need to be addressed before the clinical use of this technology can be realized: tissue supply, protection from immune rejection and maintenance of cell viability and functionality for extended periods of time. Metabolic functionality is controlled by the transport of nutrients and oxygen, with oxygen the primary dominant limitation. Maintenance of sufficient oxygen levels in the encapsulation device is critical to avoid local domains of necrotic and /or hypometabolic cells. This project was established to develop a superior cell microencapsulation device utilizing fluorocarbons to address current limitations in oxygen transport and supply. This will be accomplished through the design and testing of optimal materials formulation protocols to incorporate fluorocarbons into FDA-approved alginate and Pluronic polymeric systems.

Effective date – June 1, 2002

Intervention in Function of Tumor Cell Surface Membrane Receptors: A Potential Role of Environmental Toxicants
Kathleen Arcaro, Ph. D., Vet & Animal Science, UMass Amherst
Christopher Otis, M.D., Pathology, Baystate Medical Center
Bert Zuckerman, Professor Emeritus, UMass Amherst

Surface membrane receptors play a vital role in the growth and proliferation of cancer cells, and in signaling and recognition among these cells. An objective of the current proposal is to broaden the understanding of the mechanisms underlying carcinogenesis by experimentally perturbing the functions of the glycolipid and/or glycoprotein membrane receptors in primary human breast cultures and in a human breast-cancer cell line. To achieve this objective we will establish primary breast culture techniques, both dispersed-cell and explant culture, in our laboratory. A second objective of this proposal is to investigate the role of estrogens in the glycolipid/glycoprotein cell signaling and adhesion. These studies will form the basis for future studies on the role of environmental estrogens and anti-estrogens in tumor formation.
It is only through advances in knowledge of the basic mechanisms underlying breast cancer that there will be progress towards a cure. The current project is designed to define parameters of recognition and signaling between breast cells and breast-cancer cells, and can lead to intervention in signals between these cells.

Effective Date – June 1, 2002

Role of Testosterone in Regulating Carbohydrate and Fat Utilization during Exercise
Barry Braun, Ph.D., Exercise Science, UMass Amherst
Dan Grow, M.D., OB/GYN, Baystate Medical Center
Stuart Chipkin, M.D., Endocrinology, Gerontology, and Metabolism, Baystate Medical
Robert Goulart, M.D., Baystate Medical Center

Compared with men, women "conserve carbohydrate" and use more fat to provide energy for exercise at any given intensity. The physiological mechanisms that explain this difference are unknown but likely involve female (estrogen, progesterone) and/or male (testosterone) sex hormones. We recently showed that boosting estrogen levels in young women shifted energy use during exercise in the direction of more fat by conserving both liver and muscle carbohydrate stores. Adding progesterone completely reversed the estrogen effect by greatly increasing use of muscle carbohydrate. We now propose to assess the role of testosterone in regulating exercise substrate use by greatly lowering its concentration in young men, and then adding it back using transdermal patches.
The overall goal of this collaborative study is to gain a deeper understanding of the roles played by the sex hormones in regulating energy metabolism during exercise and their relative importance in explaining differences between men and women. In addition to shedding light on some basic biochemical mechanisms by which energy use is mediated, results from these studies are expected to aid in the design of nutrition and exercise recommendations for older adults (who have low or non-existent levels of sex hormones) and young amenorrheic women.

Effective Date – June 1, 2002

Molecular Mechanism of Early Pituitary Patterning in Zebrafish and Human Embryos
Rolf Karlstrom, Ph.D., Biology, UMass Amherst
Theonia Boyd, M.D., Baystate Medical Center

The goal of this project is to apply our rapidly increasing knowledge of
zebrafish pituitary development to our understanding of pituitary
formation in human embryos. More specifically, we are comparing early
pituitary development between fish and humans and trying to understand the
molecular mechanisms that help the pituitary become functionally
organized. We have shown that mutations in the hedgehog signaling pathway
lead to a range of pituitary defects in zebrafish and that hedgehog
signaling is necessary for several discrete stages of zebrafish pituitary
development. Importantly, there are a number of human developmental
disorders affecting pituitary development that have been linked to
mutations in the hedgehog signaling pathway (e.g. Holoprosencephaly and
Pallister-Hall syndrome). We are now comparing the development of early
regionalization in the zebrafish pituitary to that in the human pituitary
and ultimately hope to determine whether specific defects in Hh signaling
can lead to specific human pituitary deficiencies. The analysis of the
experimentally accessible zebrafish embryo, when combined with a direct
comparison to human embryology, promises to greatly increase our
understanding of human pituitary development and birth defects that affect the pituitary.

Effective Date – June 1, 2002

Automated Estimation of Left Ventricular Volume Using 3D Echocardiography
Patrick Kelly, Ph.D., Electrical and Computer Engineering UMass Amherst
Francis Lee, M.D., Biomedical Technology, Baystate Medical Center

Despite recent clinical success with three-dimensional echocardiography (3DE), the technology has been limited to use only by echocardiographers. However, the clinical need for rapid non-invasive assessment of cardiac function exists in a wider clinical setting, such as the ICU and the emergency/trauma room. In those settings without specially trained echocardiographers, differential diagnosis between the normal and the diseased heart may require detailed quantitation of the key parameters of the left ventricular (LV) functional mechanics. Although three-dimensional echocardiography (3DE) has been used recently to quantify global LV function, a reliable methodology has not been developed for a rapid and detailed quantitative analysis of both the regional and global LV function in attempts to differentiate among the various cardiac conditions. The investigators of this project propose to develop methods to make 3DE a quantitative cardiac assessment tool, which may then be used independently.

Effective Date – June 1, 2002

Computer-Aided 3-Dimensional Evaluation of the Volume and Shape of Ductal Carcinoma in Situ in Excisional Biopsies of the Breast and their Relationship to Risks of Residual Disease and Recurrence
Monroe Rabin, Ph.D., Physics, UMass Amherst
Robert Goulart, M.D., Pathology, Baystate Medical Center
Franklin Periera, Graduate Student, Electrical & Computer Engineering, UMass
Monroe S. Z. Rabin, Ph.D., Physics and Astronomy, UMass
Robert A.Goulart, M.D., Pathology, Baystate
Martin Bur, M.D., Pathology, Mercy Hospital  
Franklin Periera, Graduate Student, Electrical & Computer Engineering, UMass

We are studying a form of breast cancer called ductal carcinoma in situ and are developing a computer-based approach to enable pathologists to better record relevant data and predict the likelihood of residual and recurrent disease. We begin by enabling the pathologist to record, in a computer file, necessary information about each case (patient name, case number, dimensions of the excised tissue, etc.). Then the pathological slides are scanned into the computer and the program will find the boundary of the tissue for each slice, and enable the pathologist to indicate the locations of disease. After all slides have been scanned a 3-dimensional reconstruction of the tissue along with observed disease sites and their distances to the nearest tissue margin will be generated and be visible on a computer monitor, to enable the pathologist to better estimate the probabilities that there is residual disease outside the margins of the excised tissue and that the disease will recur. The computer file containing all of this information will become part of the pathological report and be accessible at a later time if re-evaluation of the case is desired. If further treatment is needed, the 3-dimensional computer reconstruction will aid the surgeon and radiation oncologist in treatment planning.

Effective Date – June 1, 2002

Chlamydia Pneumoniae in Healthy Volunteer Donor Blood Samples: An Unsuspected Source of Pathogen Transmission?
Elizabeth Stuart, Ph.D., Microbiology, UMass Amherst
Chet Andrzejewski, M.D., Ph.D., Transfusion Medicine, Blood Banking and Immunology, Baystate Medical Center

Chlamydiae, especially C. pneumoniae, are intracellular pathogens that
can disseminate to various sites and are associated with an array of
symptoms and highly debilitating sequelae. In addition, chlamydial
infections frequently go undiagnosed. Earlier basic research demonstrated
intermediate filaments (IF), a normal class of host cell cytoplasmic
protein, accumulate in the inclusion as chlamydia replicate, are released
along with the newly formed, infectious chlamydial elementary bodies
(EBs), and also adhere to the infectious EBs themselves. Therefore, IF
would be presented to the host immune system along with highly antigenic chlamydial surface proteins. The research examines serum specimens
exhibiting autoantibodies to cytoplasmic proteins during routine ANA
screening. The aim is to detect possible occult chlamydial infections in
this population and perhaps identify an unrecognized host target of
antibody damage. Anti-chlamydia and anti-IF antibody titers will be
assessed and levels compared with levels from the same assessments carried
out with sera from patients with diagnosed chlamydia associated
pathologies, such as PID, cardiac disease, chronic obstructive pulmonary
disease (COPD) or atherosclerosis and with healthy controls.

Effective Date - June 1, 2002

Development of Computer Vision Techniques to Support the Clinical Study of Ischemic
Stroke Treatment

Edward Riseman, Ph. D., Computer Science, UMass
Joseph Horowitz, Ph. D., Mathematics and Statistics, UMass
Allen Hanson, Ph. D., Computer Science, UMass
Richard Hicks, M.D., Radiology, Baystate Medical Center
Robert Kirkwood, M. D., Radiology, Baystate
George Howard, M. D., Neurology, Baystate

The goal of this study is automatic segmentation of stroke lesions in MRI data so that lesion volumes can be tracked over time and as a function of varying treatment. Multiple techniques and hybrid versions have been developed and are being compared, including statistical regularization (packing), deformable models (snakes), nonlinear diffusion, and level sets. Results from these algorithms are being compared with physician and radiologist manual segmentations.

Effective Date - January 1, 2002

Genetic Epidemiology of Fetal Growth Restriction
Ronald Adkins, Ph.D., Biology, UMass
Theonia Boyd, M.D., Pathology, Baystate

Low birth weight babies have a higher rate of newborn death and illness, and people born at a low birth weight have higher rates of heart disease, stroke and adult-onset diabetes. Many environmental and genetic factors play a role in fetal growth restriction, and our research focuses on the genetic contribution to fetal growth. Recently, we have begun using a revolutionary new technique that allows us to track the activity of thousands of genes simultaneously. By using DNA microarrays, we will compare the activity of genes in normal birth weight and low birth weight babies to find those genes that behave differently in the two groups. This knowledge will allow us to devote future research to those genes that may be useful for predicting low birth weight early in pregnancy and in providing medical treatments that may promote growth in the uterus.

Effective Date - January 1, 2002

Functional Investigations of Optic Input to the Serotonin System
Katherine Fite, Ph.D., Psychology, UMass
Warren Foote, Ph.D., Medical Research, Baystate

Our present research is designed to understand the functional role of visual input to the
serotonin system using a highly visual rodent species for investigation. Major research
objectives include: (1) investigation of how and where in the DRN visual stimulation
may alter the metabolic activity of DRN neuron by using a metabolic labeling technique
for glucose activity. Several kinds of visual stimulation will be presented, including
exposure to a sustained, high-intensity stimulus, exposure to a flashing light presented at different flash frequencies, and exposure to a large-field, moving pattern presented at different velocities. Experimental animals will be compared with controls exposed only to dim illumination. (2) A second set of experiments involves the development of experimental microdialysis techniques to determine whether extracellular serotonin varies in the DRN over the 24-hour, light:dark cycle. Also, visual stimulation will be used to determine whether a 30-minute presentation of high-intensity light stimulation presented at selected times in the 24-hour light:dark cycle can alter baseline, extracellular serotonin levels in the DRN.

Effective - January 1, 2002

Publications:

Fite, K. V., Birkett, M., Smith, A., Bengston, L. and Foote, W. Retinal ganglion cells projecting to the dorsal raphe nucleus and lateral geniculate in Mongolian gerbils. Neuroscience Abstracts, 2002, 761.4 (Manuscript by same title: submitted for review to Brain Research).

Fite, K. V. and Janusonis, S. Optic afferents to the parabrachial nucleus. Brain Research 2002, 943: 9-14.
Janusonis, S., Fite, K. V. and Bengston, L. Subdivisions of the dorsal raphe nucleus projecting to the lateral geniculate nucleus and primary visual cortex of the Mongolian gerbil. NeuroReport (in press)

Wu, P. (MS project) “The effects of Flashing Light on c-Fos Expression in the Dorsal Raphe Nucleus of the Mongolian Gerbil.” August 20, 2002. (journal manuscript in preparation)

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