Penetrating the Blood-Brain Barrier to Improve Efficiency of Gene Therapy Delivery

3D illustration of adeno-associated viruses, used in gene cell therapy

The Brigham’s Fengfeng Bei, PhD, and team have reported on a new adeno-associated virus variant that delivers gene therapy across the blood-brain barrier in non-human primates more efficiently than previously developed vehicles. It could have implications for treating neurodegenerative diseases including Alzheimer’s.

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Both Clinical Features, Assay Results Need Consideration in Diagnosis of MOG-AD

Demyelination of neuron, the damage of the neuron myelin sheath seen in demyelinating diseases

Giovanna S. Manzano, MD, of the Department of Neurology at Brigham and Women’s Hospital, Marcelo Matiello, MD, of Massachusetts General Hospital, and colleagues determined positive predictive values of a live cell–based serum assay that detects the diagnostic biomarker for MOG-AD in a real-world cohort.

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New Cell Atlas Poised to Support Development of Migraine Therapies

Young woman gripping head in pain from migraine, in home office

Brigham investigators have mapped out a group of cells in the trigeminal ganglia that drive migraine pain, allowing them to further characterize the cells in a way that holds promise for developing new therapeutics. Neurologist and lead author William R. Renthal, MD, PhD, elaborates on the study.

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CRP-to-Albumin Ratio Reflects Risk of Adverse Events After Spinal Epidural Abscess Treatment

MRI of cervical spine showing epidural abscess that causes spinal cord compression and paralysis

Matthew H. Lindsey, MD, Andrew J. Schoenfeld, MD, MSc, of the Department of Orthopaedic Surgery at Brigham and Women’s Hospital, and colleagues have published putative evidence that the C-reactive protein to albumin ratio can help predict adverse events after spinal epidural abscess treatment.

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Newly Identified Role of α-Synuclein May Lead to Novel Parkinson’s Disease Therapy

3d illustration of nerve cell with abnormal protein accumulations, lewy bodies

Vikram Khurana, MD, PhD, and colleagues have discovered an additional function of α-Synuclein—it modulates the stability of mRNA, thereby regulating gene expression. They explain the implications for understanding normal cellular physiology and developing therapies for Parkinson’s disease and related disorders.

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Addressing the FINER Points of Chronic Pain Management

Young woman sitting at desk in bright room uncomfortable from lower back pain

Brigham physiatrist Danielle L. Sarno, MD, is committed to reducing chronic pain among patient populations by increasing access to interdisciplinary pain care and linking patients to pain management resources. She and Jennifer Kurz, MD, established a program to help people find long-term solutions for chronic pain.

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Brain-derived Neurotrophic Factor Linked to Improved Cognitive Performance in Older Adults

Brain-derived neurotrophic factor protein molecule. Cartoon representation with gradient coloring

Kirk R. Daffner, MD, and colleagues found five weeks of cognitively stimulating activity by healthy older adults increased brain-derived neurotrophic factor (BDNF) levels and cognitive performance. They report evidence that the improvement in cognition with training was mediated by increases in BDNF.

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Utility of a Neurosurgical “Boot Camp” for Medical Students

Diverse group of men and women in white lab coats learning, arm raised to ask question

Garth Rees Cosgrove, MD, Michael A. Mooney, MD, of the Department of Neurosurgery at Brigham and Women’s Hospital, and colleagues recently organized a pilot in-person cadaveric workshop for medical students. It included hands-on teaching of craniotomy-related skills by neurosurgery faculty and residents.

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Treatment Within Five Days Generally Appropriate for Dural Arteriovenous Fistula–related Hemorrhage

MRI of the brain, Intracerebral hemorrhages, cerebral vascular disease (stroke)

Rose Du, MD, PhD, and colleagues completed the largest-ever analysis of patients with cranial dural arteriovenous fistulas (dAVF) hemorrhage. They report that treatment within five days was associated with a low rate of an early rebleed and appears to be an appropriate timeframe.

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Brain Lesions Associated With Addiction Remission Map to a Common Circuit

3D rendering of human head with brain activity colored fibers

It’s possible to link lesions in different brain locations to a common neuroanatomical substrate using the human connectome. Using this approach, Brigham researchers have identified specific testable targets for therapeutic neuromodulation of nicotine addiction.

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