Retinal Microvascular Signs In Acute Stroke: Prognostic Significance And Relevance To Underlying Pathophysiology
Funder
National Health and Medical Research Council
Funding Amount
$375,425.00
Summary
This project will describe abnormalities of the blood vessels of the retina in patients with stroke. Stroke is a common problem affecting some 48,000 Australians each year. Despite medical progress, stroke is commonly fatal (the third leading cause of death) and the leading cause of serious acquired disability in older people. This project will obtain detailed photographs of patients admitted to hospital with acute stroke. The acquired digital images will be analysed using new methods that asses ....This project will describe abnormalities of the blood vessels of the retina in patients with stroke. Stroke is a common problem affecting some 48,000 Australians each year. Despite medical progress, stroke is commonly fatal (the third leading cause of death) and the leading cause of serious acquired disability in older people. This project will obtain detailed photographs of patients admitted to hospital with acute stroke. The acquired digital images will be analysed using new methods that assess size of the small retinal arteries compared to veins (the arteriole-to-venule ratio) and will document other abnormalities, such as microaneurysms, haemorrhages, tortuosity and focal and generalised vessel narrowing and wall opacity. In normal populations these signs are associated with hypertension, inflammation and endothelial dysfunction and predict future stroke. These signs, and their significance have not been systematically studied in acute stroke. This may offer a window into the brain for important subgroups of stroke such as lacunar stroke. It is increasingly hard (and remains technically very difficult) to study the cause of lacunar stroke, affecting 10,000 Australians each year, as lacunar stroke has a lower fatality rate (and thus few opportunities for post mortem studies) but a high disability rate. Lacunar stroke is known to be due to small vessel disease but the exact nature of this disease is unknown. Echocardiography (to identify heart and major blood vessel abnormalities) and carotid duplex scanning (to identify critical stenosis of the major blood supply to the brain) are commonly normal in this type of stroke, and brain scanning with computerised tomography (CT) or magnetic resonance (MR) merely shows the outcome of the small vessel disease. The eye develops as part of the brain and thus retinal vascular abnormalities could add important knowledge to our understanding of stroke and add clinically useful data in the assessment of patients with stroke.Read moreRead less
Epileptic convulsions are common, disrupt social life and may occasionally cause death. They can occur spontaneously in individuals whose brains appear to be physically normal. Apart from the fact that epilepsy may run in families, the processes leading to spontaneous convulsions are not known. We measure the brain's electrical rhythms (EEG) to find out which rhythms are disturbed in people with epilepsy and whether these rhythms disrupt the brain to cause attacks. In preliminary studies in pati ....Epileptic convulsions are common, disrupt social life and may occasionally cause death. They can occur spontaneously in individuals whose brains appear to be physically normal. Apart from the fact that epilepsy may run in families, the processes leading to spontaneous convulsions are not known. We measure the brain's electrical rhythms (EEG) to find out which rhythms are disturbed in people with epilepsy and whether these rhythms disrupt the brain to cause attacks. In preliminary studies in patients with generalised epilepsy, we have identified abnormally strong rhythms that are almost certainly related to epilepsy causation and our studies are in part aimed at making our findings into a diagnostic test. Our findings may even enable individuals with epilepsy to test themselves for their immediate risk of seizure. Both of these outcomes should enable improved treatment for epilepsy. In addition to benefits in epilepsy, there are potential benefits in the diagnosis of cerebral degenerative disorders if changes in the rhythms also occur in these conditions.Read moreRead less
Muscling in on the brain. This project investigates an enzyme that 'matures' neurotransmitters in the brain that regulate food intake, energy expenditure and blood pressure by the brain; these neurotransmitters arise from the same precursor molecule. This project will show the physiological relevance of this enzyme in obesity.
Deconstructing the neural circuits regulating appetite. This project aims to expand our knowledge about the neural circuits that influence a feeding response in the absence of emotional or cognitive obstacles. Feeding behaviour is a fundamental physiological process in all animals. Despite the seemingly simple endpoint, feeding behaviour is affected by numerous factors including stress and motivation that can inhibit feeding behaviour. This knowledge is critical to maximise growth and survival i ....Deconstructing the neural circuits regulating appetite. This project aims to expand our knowledge about the neural circuits that influence a feeding response in the absence of emotional or cognitive obstacles. Feeding behaviour is a fundamental physiological process in all animals. Despite the seemingly simple endpoint, feeding behaviour is affected by numerous factors including stress and motivation that can inhibit feeding behaviour. This knowledge is critical to maximise growth and survival in many Australian sectors including agriculture, conservation and basic science.Read moreRead less
Early life overfeeding - mechanisms for programming obesity and long-term immune dysfunction. Early life overfeeding can lead to obesity and related changes in adulthood. With this study we will discover how overfeeding can permanently alter an animal's development so that its body weight and immune functions are dysregulated. The outcomes will facilitate appropriate design of animal experiments considering the impact of neonatal programming. They will also contribute to more efficient feeding p ....Early life overfeeding - mechanisms for programming obesity and long-term immune dysfunction. Early life overfeeding can lead to obesity and related changes in adulthood. With this study we will discover how overfeeding can permanently alter an animal's development so that its body weight and immune functions are dysregulated. The outcomes will facilitate appropriate design of animal experiments considering the impact of neonatal programming. They will also contribute to more efficient feeding protocols for meat production in agriculture and identify targets for risk management and for preventing and ameliorating early life overfeeding effects in humans. This investigation therefore has clear benefits to the social, economic, and health aspects of obesity and to basic science and agriculture.Read moreRead less
How appetite-suppressing brain cells maintain normal function and prevent the development of obesity. The brain plays a critical role in body weight gain by balancing appetite-inducing and appetite-suppressing signals. An imbalance in this process causes obesity and promotes diabetes. The aim of this research is to identify how appetite-suppressing brain cells maintain normal function and prevent the development of obesity.
Investigating the mechanisms of flavonoid actions on glycine receptors. The research to be conducted in this project will use state-of-the-art electrophysiological and molecular biological approaches to carefully characterise the actions of certain flavonoid compounds on the glycine-receptor channel. These compounds have recently been reported to act as modulators of ligand-gated ion channels, proteins integral to brain function and disease. However, no-one has studied in any detail the mechan ....Investigating the mechanisms of flavonoid actions on glycine receptors. The research to be conducted in this project will use state-of-the-art electrophysiological and molecular biological approaches to carefully characterise the actions of certain flavonoid compounds on the glycine-receptor channel. These compounds have recently been reported to act as modulators of ligand-gated ion channels, proteins integral to brain function and disease. However, no-one has studied in any detail the mechanisms by which these compounds act. By discovering their site and mechanisms of action we will further our understanding of these important proteins and their modulation, maintain Australia's significant expertise in this field and provide leads for future development of drugs with potential therapeutic value.Read moreRead less
Understanding how the brain uses sensory information to guide reaching and grasping movements. Reaching, grasping and manipulating objects are crucial aspects of our daily lives, which are performed so effortlessly that they tend to be taken for granted. We know however that these functions take a relatively long time to mature (think of a baby learning how to get an object), and that they can be impaired by brain lesions involving a region called the posterior parietal cortex. We also know that ....Understanding how the brain uses sensory information to guide reaching and grasping movements. Reaching, grasping and manipulating objects are crucial aspects of our daily lives, which are performed so effortlessly that they tend to be taken for granted. We know however that these functions take a relatively long time to mature (think of a baby learning how to get an object), and that they can be impaired by brain lesions involving a region called the posterior parietal cortex. We also know that this region has multiple subdivisions, but how exactly these interact in allowing the sensory information to guide arm and hand muscles is unknown. Discovering how this happens in terms of cellular interaction can have profound implications for the creation of new technologies such as artificial limbs and autonomous robots, and result in health benefits.Read moreRead less
Microparticles as effectors of microvascular alterations in brain inflammation. Cerebral malaria (CM) kills many children worldwide, but we do not understand why their small blood vessels in the brain become obstructed. We found that tiny elements detached from cell membranes, called microparticles (MP), are dramatically elevated in the blood during CM. Our results strongly suggest that these MP are important in CM development. We have found that some drugs block the release of MP and the stick ....Microparticles as effectors of microvascular alterations in brain inflammation. Cerebral malaria (CM) kills many children worldwide, but we do not understand why their small blood vessels in the brain become obstructed. We found that tiny elements detached from cell membranes, called microparticles (MP), are dramatically elevated in the blood during CM. Our results strongly suggest that these MP are important in CM development. We have found that some drugs block the release of MP and the stickiness of malaria parasites to blood vessels. Our project will tackle the conditions of MP production and define new drugs to prevent it. It also will explain how the brain becomes affected by high numbers of MP. Our results will cast new light on why the brain functions abnormally when its blood vessels become modified.Read moreRead less
Linkage Infrastructure, Equipment And Facilities - Grant ID: LE0882275
Funder
Australian Research Council
Funding Amount
$110,000.00
Summary
Facility for analysing behaviour, learning and motor skills in animal models. Mental disorders are one of the largest costs to the community today and account for more than 50% of the time lost from work. Moreover, these disorders are disabling conditions that relate to fundamental, basic questions of identity and individuality. This collaborative behavioural facility at The University of Queensland will underpin excellent research into how neurological changes affect behaviour and thinking, pro ....Facility for analysing behaviour, learning and motor skills in animal models. Mental disorders are one of the largest costs to the community today and account for more than 50% of the time lost from work. Moreover, these disorders are disabling conditions that relate to fundamental, basic questions of identity and individuality. This collaborative behavioural facility at The University of Queensland will underpin excellent research into how neurological changes affect behaviour and thinking, provide infrastructure to test current models on brain functions, and support the development of new compounds to treat these disorders, thus resulting in significant national and community benefits in improved health outcomes and increased work productivity.Read moreRead less