Mass General and the Phil Smith Neuroscience Institute at Holy Cross Hospital will host the South Florida Neuroscience Symposium on February 7 - 8, 2020.
Stroke is the leading cause of adult disability in the US, with up to 70% of stroke survivors suffering some degree of post-stroke VCID. Furthermore, some stroke subtypes carry a disproportionate burden of the disability related to stroke.
We are excited to announce that, last month, the National Institute of Neurological Disorders and Stroke (NINDS) awarded Massachusetts General Hospital (MGH) $39M ($62+ million in total direct and indirect costs) for the DISCOVERY (Determinants of Incident Stroke Cognitive Outcomes and Vascular Effects on RecoverY) Network.
This is the largest U19 award across Partners, 3rd among largest NIH awards received by Partners, and FIRST of those received by Mass General.
Supported by the NINDS and National Institute on Aging (NIA), DISCOVERY will become a landmark study to unravel the mechanisms of post-stroke cognitive disability, early stroke recovery, and potential targets for personalized prevention, intervention and rehabilitation.
The vision of DISCOVERY is to dramatically reduce the rates of post-stroke VCID and functional disability in high-risk US populations – specifically including the health disparities populations - based on their stroke subtype or the underlying vulnerability.
"Understanding the mechanisms underlying the process of cognitive and functional recovery after stroke offers a promise of future diagnostic tools, treatment options and rehabilitation strategies that would help abate the burden of disability related to stroke," says Natalia S. Rost, MD, MPH, who is chief of the MGH Stroke Division, Professor of Neurology at Harvard Medical School and 2019-2024 Samana Cay MGH Research Scholar.
Natalia Rost, MD, PhD
Co-Director, J. Philip Kistler Stroke Research Center
Professor of Neurology, Harvard Medical School
Samana Cay MGH Research Scholar 2019-2024
Led by Prof. Rost and Steven M. Greenberg, MD, PhD, of the MGH J. Philip Kistler Stroke Research Center, this new collaborative network consists of four novel cores and 30 premier academic clinical sites with access to acute stroke populations and the expertise and capacity for systematic assessment of post-stroke cognitive impairment and dementia.
"It takes a village to solve a problem of such complexity as post-stroke cognitive disability," says Rost. "Not only have we embarked on the greatest current challenge in the field of stroke outcomes and recovery, we are aiming to understand the mechanistic details that have never been tackled before at the depth and the scope proposed in DISCOVERY."
The complex interplay between life exposure to multiple vascular risk factorsThe DISCOVERY team will investigate the mechanisms of brain resilience and susceptibility to post-stroke VCID in a representative population of white, black and Hispanic stroke survivors in the US based on:
- Pre-existing burden of microvascular and neurodegenerative pathology
- The effect of strategic acute stroke lesions
- The mediating effect of genomic/epigenomic variation
Under the leadership of the Administrative Core (Dr. Rost, MGH) and guided by the research strategy delineated by the Recruitment and Retention (Dr. James Meschia, Mayo Clinic), Statistics (Drs. Rebecca Gottesman, Johns Hopkins University and Lisa Wruck, Duke University), and Repository (Dr. Helmer, MGH) Cores, the DISCOVERY team will conduct a prospective, multi-center, observational, nested-cohort study of 8,000 nondemented ischemic and hemorrhagic stroke patients.
Study participants will be enrolled during their acute hospital admission and followed for a minimum of two years, with serial cognitive evaluations and assessments of functional post-stroke outcome. Subsets of participants will undergo research-based MRI and PET scans and comprehensive genetic/genomic and fluid biomarker testing.
"We will translate this new knowledge into practical tools for identifying patients at high risk for post-stroke VCID and propose targeted interventions for prevention, treatment, and rehabilitation of post-stroke cognitive impairment and dementia," says Rost. "Ultimately, I see a world where each patient has a chance at successful recovery after stroke."
The key scientific leadership of DISCOVERY consists of a team of recognized experts in:
|Acute Stroke/Big Data Science||Natalia Rost, MGH; Polina Golland, MIT; Jayashree Kalpathy-Cramer, MGH Martinos Center|
|Vascular Contributions to Impairment and Dementia||Steven Greenberg, MGH; Rebecca Gottesman, JHU; Lisa Wruck, Duke; Thomas Mosley, U of Mississippi; Jennifer Manly, Columbia U|
|Alzheimer's Disease||David Knopman, Ronald Petersen, Jonathan Graff-Radford, Mayo Clinic|
|Multi-Center Stroke Clinical Trials||James Meschia, Kevin Barrett, Mayo Clinic|
|MRI Analysis||Bruce Fischl, MGH Martinos Center; Prashanthi Vemuri, Cliff Jack Jr, Mayo Clinic|
|PET Imaging||Keith Johnson, MGH; Val Lowe, Mayo Clinic|
|Hemorrhagic Stroke||Alessandro Biffi, Anand Viswanathan, MGH|
|Genetics/Genomics||Sudha Seshadri, UT-San Antonio; Myriam Fornage, UT-Houston|
|Fluid Biomarkers||Jason Hinman, UCLA; Robert Rissman, UCSD; Len Petrucelli, Mayo Clinic|
|Health Disparities||Bernadette Boden-Albala, UC-Irvine; Steven Kittner, U of Maryland|
|Large-Scale Databases/State-of-the-Art Biobanking||Alex Sherman, Karl Helmer, MGH; Robert Rissman, UCSD|
The proposal was developed in response to the RFA NS-19-012 (U19) (https://grants.nih.gov/grants/guide/rfa-files/RFA-NS-19-012.html) and is jointly supported by the NINDS and NIA (U19NS115388).
- Press Release
- Jan | 14 | 2020
The ALS Association today announced a $3 million commitment to the first platform trial for ALS, taking place at the Sean M. Healey & AMG Center for ALS at Mass General in collaboration with the Barrow Neurological Institute and the Northeast ALS Consortium (NEALS).
- Jan | 10 | 2020
Research at the MGH is interwoven throughout more than 30 departments, centers and units and is conducted with the support and guidance of the MGH Research Institute. The Research Roundup is a monthly series highlighting studies, news and events.
- Press Release
- Jan | 9 | 2020
Results from a new study by investigators at Massachusetts General Hospital indicate that persistent genital arousal disorder can be caused by altered firing of nerves that carry sensations from the genitalia or by damage to the lowest parts of the spinal cord
- Jan | 1 | 2020
Web of Science Group’s annual list of Highly Cited Researchers was recently released, and we are pleased to announce that 55 investigators from the Mass General Research Institute made the list.
- Dec | 11 | 2019
The Healey Science Advisory Council (SAC) assembled on November 18th and 19th in Orlando, Florida to discuss several new science initiatives. This meeting also marks the one-year anniversary of the launch of the Sean M. Healey & AMG Center for ALS at Mass General.