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Research at Mass General
Our long-term research goal is the development of new approaches to the treatment of epilepsy based on a clearer understanding of the necessary steps in seizure initiation and propagation.
The two major themes in the lab are neuronal ion transport and the spread of activity in neural networks. Neuronal ion transport underlies signaling at all fast synapses. The importance of neuronal ion transport was underscored by our recent discovery that reversed ion transport in the immature brain was blocking the effects of the anticonvulsants most commonly used to treat neonatal seizures, and that a safe and well-characterized diuretic could ameliorate this condition.
Our work on the spread of excitation in neural networks combines fluorescent imaging of network activity with computerized analysis and modeling to understand how normal and abnormal signaling progresses through neural networks. We have found evidence for reentrant or circular patterns of neural activity that resemble cardiac fibrillation and precede seizures. We are currently testing whether this reentrant activation of neural circuits is the earliest stage of a seizure, and the stage at which intervention is most effective. We are also testing whether long-term reductions in the strength of synaptic connections between neurons in epileptic networks can reduce the probability of seizures.
Kevin J. Staley, MD
Research Interests: Epilepsy, synaptic physiology, neuronal ion transport, neural network activity.
Research Techniques: Single cell electrophysiology, in vivo radiotelemetry, ion-sensitive fluorescent imaging of ion transport and neural network activity, computer modeling.
Diseases Studied: Epilepsy
Trevor Balena, PhD, Research Staff
Volodymyr Dzhala, PhD, Instructor in Neurology
M. Zelime Elibol, MD, Instructor in Neurology
Joseph Glykys, MD, PhD, Assistant Professor
Sofia Karamintziou PhD, Research Fellow
Lauren Lau PhD, Research Fellow
Kyle Lillis, PhD, Instructor in Neurology
Albert Misko MD, PhD, Instructor in Neurology
Kieran Normoyle MD, PhD, Research Fellow
Negah Rahmati PhD, Research Fellow
Tom Jasionowski, Research Assistant
Michelle Mail, Technologist, Lab Manager
Patti Staley, Staff Assistant
Accepting applications for 2018
Research Assistants & Technicians
Samantha Kumarasena, Tufts University School of Medicine, Boston, MA
Kimberly Lu, Boston University School of Medicine
Brittany Van Nelson, Clinical Research Coordinator II, MGH
Yero Saponjian, Student, Harvard Business Extension School
Thomas Blauwblomme MD PhD, Physician-Scientist, Pediatric Neurosurgery, Hospital Necker, Paris, France
Arash Hadipour-Niktarash MD, Assistant Professor of Neurology, University of Colorado, Denver
Michael Gutnick DVM, PhD,(Sabbatical), Koret School of Veterinarian Medicine, Jerusalem
Zemin Wang MD, PhD, Instructor, Neurology Department, BWH, Boston MA
Kiyoshi Egawa, MD, PhD, Pediatric Department, Hokkaido University School of Medicine, Medical Staff, Sapporo, Japan
Kyung-IL Park, MD, PhD, Neurology Department, Seoul Paik Hospital, Inje University, South Korea
Ji Lee, MD, PhD, R25 Research Fellow, MGH Pediatric Neurology-BWH, Boston, MA
Kristopher Kahle MD, PhD, Assistant Professor of Neurosurgery & Pediatrics, Yale School of Medicine
Yevgeny Berdichevsky, PhD, Assistant Professor, Department of Electrical and Computer Engineering, Lehigh University, PA
Sonya Kee Yun Jakawich, PhD, Associate Consultant, Fletcher Speight, Inc.
Helen Sabolek-Consiglio, PhD, Assistant Professor, Department of Psychology, Regis College, MA
Jonas Dyhrfjeld-Johnsen, PhD, Senior Scientist, Sensorion Company, France
Chris French, MD, PhD, Physiology Department, University of Melbourne, Australia
Jon Mousalliy, MD, Emergency Medicine, North Shore Medical Center, Salem, MA
Jennifer Hellier, PhD, Assistant Professor, Director of CREATE Health Scholars, University of Colorado
M. Zelime Elibol, MD. Instructor, Pediatric Neurology Division, MGH, Boston, MA
Waldemar Swiercz, PhD, Research Scientist, Kiva Systems, Reading, MA
Theju Jacob PhD, Bayer Corporation, Research Triangle Park, North Carolina
Larry Chen, University of Illinois at Urbana-Champaign
Julia Fong, University of Sydney Medical School, Australia
Tom Jasionowski, Tufts University, Boston, MA
Humzah Mahmood, Boston University, MA
Camila Cabarello, MIT, Cambridge, MA
Yun Xiang Chu - Harvard medical student (HST program)
Elon Gaffin-Cahn, Union College, NY
Hillary Mullan, Oberlin College, OH
William Neylon, Dublin Institute of Technology, Ireland
Rory Tinker, University of Manchester Medical School, UK
This cover of the journal Neuron illustrates the study of Glykys et al. 2009.
Cortical Seizures in Newborn Infants
Seizure activity in the cerebral cortex of the brain (represented by the white electrographic discharges in the illustration) is transmitted through subcortical brain regions to the muscles of the body, causing convulsions. However, cortical seizures in newborns are frequently observed on electrographic recordings without accompanying convulsions, a dissociation that is exacerbated by anticonvulsant treatment. Most newborn convulsions are treated with anticonvulsant drugs that enhance the activity of GABA, a neurotransmitter that inhibits neuronal activity and seizures by increasing the flow of chloride ions into neurons.
DClamp - Free data acquisition and analysis software for epilepsy animal research.
The main goal of this project is to provide free, open-source data acquisition and analysis software to the epilepsy research community. Our goal is to establish a common platform to facilitate data exchange and cooperation between research centers.DClamp is designed for unsupervised detection of ictal-like and inter-ictal-like events in very large EEG datasets, for example from days to months of continuous recordings. It includes algorithms for automatic detection, quantification, and analysis of seizures (White et al. J Neurosci Methods, 15;152:255-66, 2006) and interictal spikes (Dyhrfjeld-Johnsen et al. J Clin Neurophysiol 27:418-24, 2010; White et al. Epilepsia 51:371-83, 2010).
Currently DClamp can also be used for acquisition of in-vivo and in-vitro signals from as many as 64 separate channels or animals. Examples include chronic EEG data, ECoG data, extracellular field potentials, intracellular potentials, intracellular currents (using low cost acquisition cards). We plan to expand compatible hardware. Future expansions will include synchronization of signal recordings with surveillance videos. Project will be distributed as open source allowing users to modify the code.
Chloride Concentrations and GABA Signaling in Nonconvulsive Seizures
Using a genetically expressed chloride sensor and multiphoton microscopy, we show in this paper that cortical neurons in the developing mammalian brain have much higher chloride concentrations than do subcortical neurons (in the illustration, hotter colors represent higher chloride concentrations). These differences in chloride concentration lead to oppositely directed chloride flow, GABA signaling, and anticonvulsant effects in these two regions. The response of cortical neurons to GABA could be made to match the subcortical response by blocking the transporter that accumulates chloride in cortical neurons. Under these conditions, cortical seizure activity could be controlled as readily as subcortical seizure activity.
These differences provide the first candidate explanation for the puzzling dissociation of convulsions and electrographic seizure activity in newborns, the exacerbation of the dissociation by anticonvulsants, and the potential utility of blocking chloride transporters to improve control of nonconvulsive seizures in newborns.
Please contact Dr. Kevin Staley at: Staley.Kevin@mgh.harvard.edu if you are interested in working in the lab.
Read about and apply for residency, fellowship and observership programs at http://www.massgeneral.org/neurology/education/.
NCBI PubMed Publications
Pediatric Epilepsy Research Lab: Kevin J. Staley, MD
Building 114, Charlestown Navy Yard
Kevin J. Staley, MDstaley.firstname.lastname@example.org
Kevin J. Staley, MDMailcode: CNY 114-2-2600Massachusetts General Hospital, Neurology Research114 16th Street, Room 2600Charlestown, MA 02129
Patient Appointments & Clinical Office
General Child Neurology ClinicPhone: 617-726-3402
Epilepsy Service at Mass General Hospital for ChildrenPhone: 617-726-6540
Clinical Mailing Address
Kevin J. Staley, MDMailcode: WACC 7-708D Department of NeurologyMassachusetts General Hospital55 Fruit StreetBoston, MA 02114
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