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December 15, 2005

Notes From the Field
...an ALS writer’s view of this year's Society for Neuroscience meetings

Just before Thanksgiving, neuroscientists worldwide made the pilgrimage to Washington, D.C., for the annual Society for Neuroscience meetings. The capitol’s convention center resembled nothing so much as an ant colony, as more than 34,000 participants went from lecture to lecture or stopped to catch up with colleagues. The event is one of the planet’s largest conferences, with some 17,000 presentations during five days of speeches, slide lectures and poster sessions. Anything to do with the nervous system — its development, neuro-diseases, behavior, neurochemistry, stem cell workings and more — is a fair topic.

The meetings aren’t all work: in one exhibit hall, a bazaar of scientific book and equipment sellers beckon, using free food or give-away gizmos to entice postdoctoral students --- who provide the muscle behind most laboratory work --- to listen to their pitches. (Little brain-shaped refrigerator magnets were popular this year.) And in the evening, specialty gatherings provide truly-needed contrast to each day’s intense focus on science: the Hippocampus and Thalamus Socials draw folks in, for example, as does the Serotonin Club dinner.

The science, however, is undeniably serious. Not only are the meetings a quick way to learn what’s hot in ALS research and to see if people know their stuff; they’re also useful for perspective. The huge breadth of topics exposes neuroscientists to news from adjacent fields that they wouldn’t hear much about otherwise, ideas that may help bridge the gaps in understanding how ALS works. Researchers can also pick up novel techniques or approaches to problems. Just getting consensus on a lab finding can be important, can shift its significance closer to truth.

Two last asides: the first is that nobody comes to these meetings for the food. Convention-hall catering is pretty grim: rubber charburgers and overpriced pizza which you may have to eat sitting on the floor. When 34,000 decide it’s time for lunch, tables are at a premium.

The second reflects a comment by the Dalai Lama, whose controversial presence centered on his lecture the first evening, part of a series of dialogues on neuroscience and society. “I like to imagine all human activities, including science, as individual fingers of a palm,” he said. “So long as each of these fingers is connected with the palm of basic human empathy and altruism, they will continue to serve the well-being of humanity.” That could summarize the ALS research I regularly witness.

So here are some of the meeting’s more interesting ALS studies. They’re from a cross-section of researchers, some Packard scientists, some not:

  • A new study using ALS model mice exposed the animals to a combination of exercise and gene therapy with positive results. Researchers introduced genes for insulin-like growth factor (IGF), which has been shown to help protect animal models’ motor neurons, via a harmless virus. At the same time, the mice, unlike controls, had long access to a running wheel. The work, from a team led by Brian Kaspar at Ohio State University, showed that the treated mice lived almost twice as long as those without the approach. Because the study also looked at the effect of exercise alone in the ALS mice, without added gene therapy, the scientists found it, too, had a positive effect, though milder. Mice that exercised from a younger age lived a month longer than controls; those who began exercise later lived, on average, 11 days longer. The researchers suspect some of exercise’s benefits may be due to an internal IGF-boosting effect. (Fred Gage, a Packard scientific advisor, was on the research team.)
     
  • Work by Jean-Pierre Julien and a team of Canadian and Japanese colleagues found that mutant SOD1 molecules — those that bring about a familial form of ALS — often associate with proteins called chromogranins, both in nerve cell cultures and in spinal cords of ALS mice. While the purpose of chromogranins in nerve cells isn’t clear, the fact that they’re linked with the release of substances to the outside of cells strongly suggests that chromogranins help mutant SOD1 find its way into a nerve cell’s surroundings. Moreover, Julien’s group found that extracellular mutant SOD1 is toxic to motor neurons in culture. Their results are in keeping with the new idea that ALS doesn’t necessarily originate in motor neurons and that toxicity can transfer from one cell to another. The team’s report will appear in an upcoming issue of Nature Neuroscience. (Julien is a Packard scientist.)
     
  • Scientists are no strangers to VEGF, a molecule that directs growth of blood vessels. Blocking VEGF is the basis for new cancer therapies, for example. But, more recently, researchers have come to realize that VEGF also plays a major part in the developing nervous system and, in adults, in the survival of neurons. Following earlier work that strongly suggests certain mutations in VEGF increase the risk of ALS, Belgian researcher Peter Carmeliet and his team have new studies that could explain how. Not long ago, mice they engineered with defective VEGF genes had a greatly reduced supply of the growth factor and developed a motor neuron disease not unlike ALS.

    More recently, Carmeliet’s group bred their VEGF-poor mice with animal models of ALS (a mutant SOD1 model) to see how one condition might affect the other. The resulting offspring had a far-shorter lifespan than the ALS models alone. Especially interesting was the fact that before ALS symptoms first appeared in the animals, blood supply to key areas of the body — including motor neurons — dropped as nerves responsible for maintaining blood pressure failed. This added stress on motor neurons, along with havoc wreaked by the disappearance of VEGF’s normal protective effects, apparently made them more susceptible to ALS damage. The finds suggest poor blood supply to motor neurons may be part of the disease in some patients.

    By contrast, ALS mice engineered to carry extra copies of normal VEGF genes had greatly improved motor neuron activity compared with typical ALS animals.

    Because gene engineering is a complex way to introduce more VEGF, especially if there’s an eye to human therapy, Carmeliet is investigating a brain-implanted delivery system in which the growth factor works its way into the spinal cord. The approach significantly lengthened ALS animals’ survival. (Peter Carmeliet is a Packard scientific advisor. Wim Robberecht, on the team for a number of the studies, is a Packard scientist.)
     
  • Christopher Henderson, of Columbia University, is struck by similarities between a natural event that takes place in developing nervous systems — namely, a stage before birth when roughly half of motor neurons die off — and what happens in neurodegenerative disease. Understanding what triggers the natural death and what protects neurons that are spared, he says, could help understand ALS and treat it.

    Studies show that in both instances, neurons survive when supported by a number of survival-encouraging molecules called trophic factors. When Henderson artificially removed certain of the factors, internal death programs quickly became active and the cells died.

    To understand what’s going on, Henderson focused on a specific molecule called fas that takes center stage when trophic factors are gone. There’s a great increase in cell-surface receptors for fas in ailing cells. Henderson expected to follow the usual sequence of events such cells go through: the doomed cells release fas, it binds to the now-plentiful receptors on cell membranes and trips a well-known cascade of chemical reactions ending in death. And that does happen, he found. But he also discovered that, by contrast, motor neurons have a parallel, previously undiscovered death pathway.

    Knowing the importance of motor neurons in ALS, Henderson turned to mouse models — the mutant SOD1 mice that mimic a familial form of the disease. He found the animals tremendously sensitive to fas stimulation. Their motor neurons died considerably faster than usual, he found, probably because the parallel pathway was working overtime. Not only has Henderson gone on to find a tie between the activation of this pathway and the presence of mutant SOD1 protein, but he also has suggestions this same pathway is turned on in the common, sporadic forms of ALS, an exciting idea that opens doors to new, more fundamental targets for therapy. (Henderson is a recent member of the Packard scientific advisory committee.)  

  • In exploring just why the growth factor VEGF apparently protects motor neurons, a Belgian team led by Packard scientist Wim Robberecht has singled out a particular chemical pathway marked by an enzyme called protein kinase B that’s a key player in cell survival, cell growth and cell movement. Flaws in the pathway have already been tied to diabetes and cancer.

    Now Robberecht’s team has shown, in ALS rat models, that protein kinase B disappears early on in the disease process. They’ve also showed that treating rats with VEGF significantly increases the enzyme. More than a simple mapping out of a pathway, the work supports the potential of this small chemical cascade as a target for therapy.


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