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NR Times rounds up the latest
developments in neuro-rehab

Organ transplant drug may slow Alzheimer’s disease progression

Protein imbalances that increase brain cell excitability may explain why individuals with Alzheimer’s disease (AD) who also experience seizures demonstrate more rapid cognitive decline than those who do not experience seizures. These imbalances may be present in the brains of individuals before the onset of AD symptoms.The new findings, from a research team at the University of Pennsylvania’s Perelman School of Medicine, are published this week in Brain.

$1.2 million to advance traumatic brain injury research

Kessler Foundation scientists received three significant grants from the New Jersey Commission on Brain Injury Research to further investigate traumatic brain injury (TBI) rehabilitation. The grants, totaling more than $1.2 million, will fund new research initiatives focused on improving sleep disorders for adolescents after TBI, behavioural and brain changes in individuals with spatial neglect, and a training program for TBI caregivers.

Study reveals differences between females and males in major causes of disease burden

Globally, there are substantial differences between females and males (aged 10 and older) when it comes to health, with limited progress in bridging these health gaps over the past 30 years, according to a new study examining the disparities in the 20 leading causes of disease burden between females and males, across ages and regions, published in The Lancet Public Health journal.

Long-term outcomes in infants at high risk of cerebral palsy

Results from a new study support the potential to identify cerebral palsy and its severity as early as corrected age 3 to 4 months through early neurodevelopmental assessments, but the role of the tests is limited in identifying cognitive and neurodevelopmental impairments. “This diagnostic study including 116 infants born extremely preterm or preterm with extremely low birth weight or born full term with encephalopathy and received therapeutic hypothermia found that early neurodevelopmental assessments were effective in identifying infants with cerebral palsy and predicting its severity. However, the assessments had limited accuracy in identifying cognitive impairment and its severity, as well as in detecting any neurodevelopmental impairment and its severity.”

New genetic form of Alzheimer’s disease

Researchers from the Research Area on Neurological Diseases, Neuroscience, and Mental Health at the Sant Pau Research Institute, led by Dr Juan Fortea, Director of the Memory Unit of the Neurology Service at the same hospital, have found that over 95% of individuals over 65 years old who have two copies of the APOE4 gene -APOE4 homozygotes- show biological characteristics of Alzheimer’s pathology in the brain or biomarkers of this disease in cerebrospinal fluid and PET scans. The study concludes that those individuals homozygous for APOE4 also develop the disease earlier than those with other variants of the APOE gene. These findings suggest that having two copies of the APOE4 gene could represent a new genetic form of Alzheimer’s disease, as explained by Fortea.

Improving brain care and enable precision neurology

YPrime has announced the availability of a new report, Insights into CNS Clinical Trials, which provides clinical trial sponsors with data-driven insights on how electronic clinical outcome assessments (eCOA) can improve Central Nervous System (CNS) trial efficiency and success. This latest piece of research from YPrime, which has supported nearly 43,000 patients across more than 16,000 sites, presents information on leveraging eCOA for faster drug development, reduced costs associated with lengthy and complex CNS trials, and access to high-quality data for more informed decision-making.

Pushing the boundaries of neuroscience with GE HealthCare’s SIGNA MAGNUS

GE HealthCare today unveiled SIGNA MAGNUS, an FDA 510(k) pending head-only magnetic resonance (MR) scanner designed to explore advancements in neuroscience, which have been restricted by the performance limitations of conventional whole-body MR systems. Neuroscience, particularly in the study of psychiatric diseases and neurological disorders such as Alzheimer’s, has been constrained by technological and biological limitations, leaving many aspects of the brain structure and functionality largely unexplored.

New Scientist reports that Most brain monitors sold to consumers don’t keep your data private. The publication writes that a new report has found data privacy problems with the vast majority of 30 companies that sell neurotechnology devices to consumers, with new US state laws aiming to change that.

Small molecule shows early-stage promise in MS

When treated with a novel protein function inhibitor called ESI1, mice that mimic the symptoms of multiple sclerosis (MS) and lab-prepared human brain cells both demonstrated the ability to regenerate vital myelin coatings that protect healthy axon function. This breakthrough, published in Cell, appears to overcome difficulties that have long frustrated previous attempts to reverse a form of nerve damage that robs people with MS of motor control and gradually blunts cognitive functions for many people as they age.

MCRA supports Darmiyan with FDA approval for BrainSee device

MCRA, an independent medical device, diagnostics, and biologics Clinical Research Organisation (CRO) and advisory firm, has announced its role in the successful granting of Darmiyan's De Novo request for BrainSee by the US Food and Drug Administration (FDA).

BrainSee's AI algorithm combines analysis of an indicated patient's brain MRI with their results on cognitive tests to provide a BrainSee score. The score helps doctors determine the patient's likelihood of progression from amnestic mild cognitive impairment (MCI) to Alzheimer's dementia in the next 5 years.

US-based funders have put US$1.2m towards TBI research.

US-based funders have put US$1.2m towards TBI research.

A study has shed new light on cerebral palsy risk in infants.

A study has shed new light on cerebral palsy risk in infants.

New approach for treating degenerative diseases

A new paper reveals a new connection between a particular ion transport protein and the cell’s garbage disposal, which grinds up misfolded proteins to stave off their toxic accumulation. The results, published in Developmental Cell, identify a target for treating debilitating degenerative conditions, such as  Alzheimer’s and Parkinson’s.

Nutrient research reveals pathway for treating brain disorders

A University of Queensland researcher has found molecular doorways that could be used to help deliver drugs into the brain to treat neurological disorders. Dr Rosemary Cater led a team which discovered that an essential nutrient called choline is transported into the brain by a protein called FLVCR2. The research also highlights the importance of eating choline-rich foods – such as eggs, vegetables, meat, nuts and beans. The research is published in Nature and funded by the National Institutes of Health.

Survey reveals how well people really know signs of stroke 

A survey conducted by MedStar Health found people could be overly confident about their ability to recognise the serious warning signs of someone having a stroke. The national survey of 1000 people found 64 per cent of respondents said they were "confident" about their knowledge of stroke symptoms, but just 23 per cent could name the signs that make up the widely known acronym BEFAST which outlines sudden changes that can be signs of stroke.

PLT Health Solutions secures licence from Health Canada for Nutricog

PLT Health Solutions has received a license from the Natural and Non-Prescription Health Products Directorate (NNHPD) of Health Canada to market its ingredient Nutricog® Cognitive Performance Complex to support cognitive health. In a randomised, double-blind, placebo-controlled clinical trial, users of Nutricog demonstrated significant improvements compared to placebo across multiple cognitive domains, including learning, memory, sustained attention, working memory and executive function, where increases in cognitive speed were seen concurrently with improvements in accuracy while multitasking.

Medtronic receives FDA approval for closed-loop spinal cord stimulator

Medtronic has announced that the US FDA has approved the Inceptiv™ closed-loop rechargeable spinal cord stimulator (SCS) for the treatment of chronic pain. Inceptiv is the first Medtronic SCS device to offer a closed-loop feature that senses biological signals along the spinal cord and automatically adjusts stimulation in real time, keeping therapy in harmony with the motions of daily life.

Research grant to explore new causes of MS

Alexander Gow, Ph.D., professor and associate director of the Center for Molecular Medicine and Genetics and professor of paediatrics and neurology at the Wayne State University School of Medicine, received an award from the National Multiple Sclerosis Society for a study into the causes of multiple sclerosis. The three-year, $644,827 grant for his study, “Metabolic Stress and Oligodendrocyte Pathophysiology,” will explore the early roots of Multiple Sclerosis (MS) in patients that Gow believes may begin years — perhaps even decades — before symptoms become apparent.

Association of new-onset seizures with SARS-CoV-2 vaccines

A new, systematic review and meta-analysis has revealed that the incidence proportion of new-onset seizures after SARS-CoV-2 vaccination was not statistically different between vaccine recipients and placebo recipients or unvaccinated participants in the pooled analyses of more than 118,000 participants in randomized clinical trials.

Funding for brain injuries, PTSD and more

In a recent round of grant awards, the STRONG STAR Consortium based at The University of Texas Health Science Center at San Antonio (UT Health San Antonio) was selected by the U.S. Department of Defense for a total of $17 million in funding to launch eight new research projects focused on traumatic brain injury and psychological health. The combined projects will enable the consortium to take a big step forward in its mission to advance the care of military personnel and veterans recovering from war-related trauma and the psychological wounds it inflicts.

Coya Therapeutics presents updated ALS biomarker data

Coya Therapeutics has presented biomarker data as part of a presentation at the 2nd Annual Johnson Center Symposium in Houston, Texas. The data presented highlights the strong predictive value of oxidative stress biomarker (4-HNE) levels with the rate of disease progression and survival in ALS patients from a longitudinal patient registry cohort. Dr Stanley Appel, M.D., Chairman of Coya’s SAB, commented: “The demonstration that serum levels of 4-HNE are highly correlated with ALS progression and survival highlights the potential value of this lipid peroxide as a biomarker of disease pathophysiology and as an independent monitor of clinical status.”

Phase II/III data in patients with early Alzheimer’s Disease

Annovis Bio has announced the data from its Phase II/III Alzheimer study of buntanetap in mild to moderate AD patients. Based on these data, the company plans to conduct a pivotal Phase III trial in biomarker-positive early AD patients. Buntanetap is an oral molecule that selectively binds to an iron-responsive element in the mRNA of amyloid precursor protein (APP) and other neurotoxic proteins and inhibits their translation. Through this mechanism, buntanetap was shown to decrease the production of amyloid beta (Aβ), tau, alpha-Synuclein (αSYN), and TDP43.

Tether invests $200m in brain-chip maker Blackrock Neurotech

Reuters reports that the crypto company Tether has invested $200 million in Blackrock Neurotech, taking a majority stake in the U.S. brain implant company. Blackrock Neurotech makes brain-to-computer interfaces, including neural implants which can allow people to control computers and prosthetic arms without moving, its website says. It has no relation to the asset manager BlackRock. The deal values Blackrock Neurotech at around $350 million, making Tether its largest shareholder, Tether CEO Paolo Ardoino told Reuters.

Research suggests people may be overly confident about their ability to spot stroke warning signs.

Research suggests people may be overly confident about their ability to spot stroke warning signs.

Annovis Bio has announced new Alzheimer's data.

Annovis Bio has announced new Alzheimer's data.

Robotic nerve ‘cuffs’ could help treat a range of neurological conditions

Researchers have developed tiny, flexible devices that can wrap around individual nerve fibres without damaging them. The researchers, from the University of Cambridge, combined flexible electronics and soft robotics techniques to develop the devices, which could be used for the diagnosis and treatment of a range of disorders, including epilepsy and chronic pain, or the control of prosthetic limbs.

Gene linked to epilepsy, autism decoded in new study

A genetic change or variant in a gene called SCN2A is a known cause of infantile seizures, autism spectrum disorder and intellectual disability, as well as a wide range of other moderate-to-profound impairments in mobility, communication, eating and vision.  The severity of these disorders can vary widely from person to person, but little is known about what is happening at the level of the SCN2A protein to cause these differences.   A new Northwestern Medicine study helps explain how changes in the SCN2A gene affect whether or not a child will develop autism or epilepsy, the age at which seizures start for those with epilepsy and the severity of the child's other impairments.

Children with symptoms of brain injuries and concussions are missing out on vital checks

Almost a quarter of US children with symptoms of a brain injury or concussion are not checked for the condition, with younger children particularly likely to be overlooked, a new national study finds. The peer-reviewed US research, which is published in the journal Brain Injury, also shows that children with symptoms or a diagnosis of a brain injury or concussion were more likely to have symptoms of depression than other youngsters. They also found it harder to make friends.

Multiple Sclerosis patients receiving intranasal Foralumab

Tiziana Life Sciences, a biotechnology company developing breakthrough immunomodulation therapies via novel routes of drug delivery, today announced for the first time, quantitative data showing improvement in White Matter Z-scores measured from PET images taken at 3 months in nasal foralumab treated patients with non-active secondary progressive multiple sclerosis (na-SPMS). White Matter Z-scores are a statistical measure used in neuroimaging studies to assess the integrity or abnormalities in structures of the brain.

Using AI to improve diagnosis of Rare Genetic Disorders

Diagnosing rare Mendelian disorders is a labor-intensive task, even for experienced geneticists. Investigators at Baylor College of Medicine are trying to make the process more efficient using artificial intelligence. The team developed a machine learning system called AI-MARRVEL (AIM) to help prioritise potentially causative variants for Mendelian disorders. The study is published today in NEJM AI.

Science ministers commit to better forecast and steer disruptive new technologies

Science ministers from across the world have endorsed a new approach to how new technologies are regulated, warning that governments need to foresee and steer breakthroughs, rather than being caught on the back foot and reacting to problems after they emerge. Spooked by sudden advances in artificial intelligence (AI), they endorsed a new set of ideas drawn up by the Organisation for Economic Co-operation and Development (OECD) in a get-together in Paris.

 

Children with symptoms of brain injuries and concussions are missing out on vital checks - report.

Children with symptoms of brain injuries and concussions are missing out on vital checks - report.

Latest data on Alzheimer’s drug development 

The latest Alzheimer’s drug development  pipeline has been published in Alzheimer’s and Dementia: Translational Research & Clinical Interventions. According to this year’s data, there are 164 active trials and 127 unique treatments, a roughly 10% decrease from the previous year that saw a record-high 187 active trials and 141 unique treatments.

The database of all clinical trials results was established in 2016 by Dr Jeffrey Cummings, who leads the Alzheimer’s drug development observatory within UNLV’s Department of Brain Health.

Global consortium to study Pick's disease

Pick's disease, a neurodegenerative disease of unknown genetic origin, is a rare type of frontotemporal dementia that affects people under the age of 65.

Researchers at Mayo Clinic in Florida, University College London in England and collaborators worldwide have established the Pick's Disease International Consortium to study a specific MAPT gene variation known as MAPT H2 that makes the tau protein and acts as a driver of disease. They investigated a connection between the gene and disease risk, age at onset, and duration of Pick's disease.

Role of genetic variations and long-term pesticide exposure in Parkinson’s 

A new UCLA Health study found certain genetic variants could help explain how long-term pesticide exposure could increase the risk of Parkinson’s disease. The new study, published in the journal NPJ Parkinson’s Disease, used genetic data from nearly 800 Central Valley (California) residents with Parkinson’s disease, many of whom had long-term exposure to 10 pesticides used on cotton crops for at least a decade prior to developing the disease, with some patients having been exposed as far back as 1974. 

Researchers from Drexel University’s Creativity Research Lab have developed an artificial intelligence technique that can effectively estimate an individual’s brain age based on electroencephalogram (EEG) brain scans. The technology could help to make early, regular screening for degenerative brain diseases more accessible.     

Tiziana reports positive neuroimaging scores in multiple sclerosis study

Tiziana Life Sciences has published quantitative data showing improvement in White Matter Z-scores measured from PET images taken at 3 months in nasal foralumab treated patients with non-active secondary progressive multiple sclerosis (na-SPMS). White Matter Z-scores are a statistical measure used in neuroimaging studies to assess the integrity or abnormalities in structures of the brain.

DiagnaMed’s BRAIN AGE®  reaches clinical validation milestone

DiagnaMed announced a clinical validation milestone of the BRAIN AGE® Brain Health AI Platform, a world-first consumer brain health and wellness AI solution that estimates brain age and provides a brain health score, with a first-of-a-kind peer-reviewed paper in Frontiers in Neuroergonomics.

Cerevance adds $47 Million to advance robust clinical pipeline

Cerevance, a company focused on developing precision novel therapeutics for central nervous system diseases, announced an initial closing of its Series B-1 Extension financing round that will add $47 million to the $51 million previously raised bringing the total Series B-1 raise to $98 million.

New details on the latest Alzheimer’s drug development  pipeline have been published.

New details on the latest Alzheimer’s drug development  pipeline have been published.

Research shows “profound” link between dietary choices and brain health

New research has highlighted the profound link between dietary choices and brain health. Published in Nature, the research showed that a healthy, balanced diet was linked to superior brain health, cognitive function and mental wellbeing. The study, involving researchers at the University of Warwick, sheds light on how our food preferences not only influence physical health but also significantly impact brain health.

PET scans reveal ‘smouldering’ inflammation in patients with MS

A new study from Brigham and Women’s Hospital, a founding member of the Mass General Brigham healthcare system, suggests positron emission tomography (PET) brain scans could reveal hidden inflammation in patients with multiple sclerosis (MS) who are being treated with highly-effective treatments. The findings were published in Clinical Nuclear Medicine.

Heart health affects midlife cognition in Black women

A new study has found that Black women with poor cardiovascular health may face an elevated risk of early signs of cognitive decline in midlife. The study, which is published in the Journal of the American Heart Association, found that processing speed, a leading indicator of early cognitive decline, appeared to decline in Black women with poorer cardiovascular health starting in midlife but not in white women. Working memory did not decline in the total study group, or in groups based on race or cardiovascular health.

Unlocking single-neuron therapies for neurodegenerative disorders

Neural stimulation is a medical technique used to treat many illnesses affecting the nervous system. It involves applying energy to neurons to encourage them to grow and make connections with their neighbours. In the Journal of Vacuum Science & Technology A, researchers from the University of Minnesota deployed an array of microscopic coils — microcoils — to create a magnetic field and stimulate individual neurons. They constructed a prototype of their coil array, called MagPatch and tested it with human neuroblastoma cells to demonstrate its effectiveness. The cells were affected by the magnetic fields without being harmed by the coating, suggesting the potential to use this device in clinical settings. 

$4.8 million grant to study TDP-43 protein in neurodegenerative diseases

A new $4.8 million grant will support researchers from Indiana University School of Medicine and the Medical Research Council Laboratory of Molecular Biology to study how human neurodegenerative diseases are affected by the misfolding of the protein TDP-43. Misfolding occurs when a protein adopts a conformation which differs from the native one.

The researchers, funded by the National Institute of Neurological Disorders and Stroke, have developed an innovative approach to deciphering the role of TDP-43 misfolding in the pathology of frontotemporal dementias, limbic predominant age-related TDP-43 encephalopathy and Alzheimer’s disease.

Helius expands stroke programme

Neurotech company, Helius, is expanding its clinical development programme for the broadening of the labeling of its marketed PoNS device to include patients recovering from stroke with the participation of Shepherd Center, under the direction of chief medical officer, Michael Yochelson. 

Gain announces positive initial results from Parkinson’s trial

Gain has announced positive results from the single ascending dose (SAD) part of its Phase 1 study on GT-02287, a Novel GCase-Targeting Small Molecule Therapy for GBA1 Parkinson’s Disease. GT-02287 was generally well tolerated up to and including the highest planned dose level, and there were no serious adverse events.

Read more from this edition

Nutrition in neuro-rehab: an update

Read specialist neuro-rehab dietitian's in-depth analysis.

Cover story

Helping children to navigate the family experience of brain injury.

Solving the great dementia/tech challenge

Work is underway at St Andrew's Healthcare to unlock the potential of digital tech in the lives of people with dementia

black and yellow box on brown wooden table

Podcasting and post-injury purpose

Using podcasting as a therapeutic vehicle for a gentleman with anosognosia five years post-accident

Heads up on keeping our heads up

BES Healthcare on how to to assist optimising the head’s functionality, when our muscle motor systems are letting us down.

Technology and traditional therapy approaches

The impact of new tech on patient outcomes and how it is enabling physiotherapists to “do what they do best”.

aerial photography of flowers at daytime

Nature and neuro-rehab - an untapped resource?

NR Times reports on the growing evidence for the power of the great outdoors in influencing outcomes.

A new approach to hospital avoidance

Empowering U's Crash Pad Initiative

The value of combined MDT process

Exploring patients' needs through multiple lenses

Taking play seriously

The benefits of implementing play in occupational therapy

On the hunt for new Parkinson's treatments

With Gunnar Olsson, CEO of Swedish biotech company, IRLAB

Neurological physiotherapy in brain injury rehab

“You need to be passionate to work in neurological physiotherapy and often look at the long-term gain.”

Entrepreneur with MND takes to the sea

Entrepreneur James Ashton has refused to let the progressive disease and its cruel consequences take away his long-standing love of the ocean

Pushing through the plateau

STEPS Rehabilitation shares the journey of Angela, who sustained a spinal cord injury in a road traffic accident.

Cerebral palsy support

Shining a light on the life-changing charities

Chroma partners with ISOFI

Partnership will support brain injury survivors’ mental health

On the road again

When the time came for one YouTuber to replace his trusty Brotherwood VW Caddy, he knew just where to turn.

Charity's music therapy ABI offer

Specialist Neurologic Music Therapy is now available as part of a multidisciplinary therapy offering at QEF.