Rush Alzheimer's Disease Center

Last updated
Rush Alzheimer’s Disease Center
MissionDiagnosis, treatment and prevention of Alzheimer’s and other dementias
HeadDavid A. Bennett, M.D., Director
Address1750 West Harrison Street, Suite 1000, Chicago, IL 60612
Location
Chicago
,
Illinois
Coordinates 41°52′25″N87°40′18″W / 41.8736016°N 87.6717202°W / 41.8736016; -87.6717202
Website www.rushu.rush.edu/research/departmental-research/rush-alzheimers-disease-center

The Rush Alzheimer's Disease Center (RADC) [1] is an indepependent research center located in the Medical College of Rush University Medical Center. The Rush Alzheimer's Disease Center is one of the Alzheimer's Disease Research Centers in the U.S. designated and funded by the National Institute on Aging. [2]

The RADC was founded by Dr. James Schoenberger in 1985. Dr. David A Bennett, a neurologist, became the third RADC Director in 1998 following Dr. Jacob H Fox. From 2001-2022, Dr. Bennett also led Alzheimer's Disease Research Center (ADRC) funded by the NIA following Dr. Denis Evans who lead the ADRC from 1991-2001; this grant is now led by neuropathologist and neurologist Dr. Julie A Schneider. [3]

The RADC is a leader in research into the causes, treatments, and prevention of Alzheimer's disease and related disorders. [4]

One of its earliest research projects was the Religious Orders Study. [5] The Religious Orders Study, led by Dr. Bennett, was initially funded by the National Institute on Aging in 1993. It is a study utilizing volunteers in religious communities from across the United States including priests, nuns, and brothers, who agree to annual clinical evaluation and brain donation after death, providing doctors with an opportunity to look for postmortem correlations between lifestyle and Alzheimer’s disease. [6]

The RADC's Rush Memory and Aging Project (MAP) [7] , also led by Dr. Bennett, followed in 1997. This project enrolls participants from northeastern Illinois all of whom agree to annual clinical evaluation and blood donation, and most agree to wear biomedical devices and undergo brain imaging. Notably all participants agree to donate brain, spinal cord, muscle an nerve at death. [8] [9]

Scientists at the RADC use the brains and other biospecimens to study a broad range of factors relating to Alzheimer's disease and other common diseases of age, and share tissue samples and data with other researchers across the globe. [10]

Both studies are ongoing, and have created research opportunities at Rush University, including the Mediterranean-DASH Intervention for Neurodegenerative Delay MIND diet research led by the late Dr. Martha Clare Morris, the Minority Aging Research Study (MARS) led by Dr. Lisa L. Barnes who also leads the Clinical (African American) Core of the the , which are studies of decline in cognitive function and risk of Alzheimer's disease in older African Americans, with brain donation [11] after death added as an optional component, [12] the Latino CORE led by Dr David Marquez from the University of Illinois. [13] The RADC also has a neuroimaging Core led by MRI Physicist Dr. Konstantinos Arfanakis. [14]

While maintaining cognitive function is the number one priority of most older persons, their second concern is loss of mobility. Thus, Dr. Aron Buchman leads a portfolio of studies on motor function that incorporate a variety of biomedical devices worn in the home. [15] [16]

In addition to a focus on the treatment and prevention of common chronic diseases of older persons, the RADC also has a portfolio of work on health and financial decision making and susceptibly to scam a fraud led by Dr. Patricia Boyle. [17]

More recently the RADC established the Pathology Alzheimer's Disease and Related Disorders Study (PARDoS) in Sao Paulo Brazil led by Dr. Bennett at the RADC and Dr. Jose Farfel at the RADC and the Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE). The study collects brains and other organs from Blacks, Mixed and White decedents age 18+ from IAMSPE and the Santo Andre and Guarulhos autopsy services in the southwest and northwest suburbs of Sao Paulo.

The RADC also has a Sequencing Core and Human Cell Modeling Group led by neurologist and stem cell biologist Dr. Yanling Want. [18]

The RADC also sponsors an array of community outreach and education programs. [19]

Related Research Articles

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<span class="mw-page-title-main">Dementia</span> Long-term brain disorders causing impaired memory, thinking and behavior

Dementia is the general name for a decline in cognitive abilities that impacts a person's ability to perform everyday activities. This typically involves problems with memory, thinking, and behavior. Aside from memory impairment and a disruption in thought patterns, the most common symptoms include emotional problems, difficulties with language, and decreased motivation. The symptoms may be described as occurring in a continuum over several stages. Dementia ultimately has a significant effect on the individual, caregivers, and on social relationships in general. A diagnosis of dementia requires the observation of a change from a person's usual mental functioning and a greater cognitive decline than what is caused by normal aging.

Vascular dementia (VaD) is dementia caused by problems in the blood supply to the brain, resulting from a cerebrovascular disease. Restricted blood supply (ischemia) leads to cell and tissue death in the affected region, known as an infarct. The three types of vascular dementia are subcortical vascular dementia, multi-infarct dementia, and stroke related dementia. Subcortical vascular dementia is brought about by damage to the small blood vessels in the brain. Multi-infarct dementia is brought about by a series of mini-strokes where many regions have been affected. The third type is stroke related where more serious damage may result. Such damage leads to varying levels of cognitive decline. When caused by mini-strokes, the decline in cognition is gradual. When due to a stroke, the cognitive decline can be traced back to the event.

<span class="mw-page-title-main">Binswanger's disease</span> Medical condition

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Memory disorders are the result of damage to neuroanatomical structures that hinders the storage, retention and recollection of memories. Memory disorders can be progressive, including Alzheimer's disease, or they can be immediate including disorders resulting from head injury.

<span class="mw-page-title-main">Chronic traumatic encephalopathy</span> Neurodegenerative disease caused by head injury

Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease linked to repeated trauma to the head. The encephalopathy symptoms can include behavioral problems, mood problems, and problems with thinking. The disease often gets worse over time and can result in dementia.

Alcohol-related dementia (ARD) is a form of dementia caused by long-term, excessive consumption of alcoholic beverages, resulting in neurological damage and impaired cognitive function.

The Nun Study of Aging and Alzheimer's Disease is a continuing longitudinal study, begun in 1986, to examine the onset of Alzheimer's disease. David Snowdon, an Epidemiologist and the founding Nun Study investigator, started the Nun Study at the University of Minnesota, later transferring the study to the University of Kentucky in 1990. In 2008, with Snowdon's retirement, the study returned to the University of Minnesota. The Nun Study was very briefly moved from the University of Minnesota to Northwestern University in 2021 under the directorship of Dr. Margaret Flanagan. The Nun Study is currently housed at the University of Texas Health San Antonio in the Bigg's Institute for Alzheimer's and Neurodegenerative diseases under the continued directorship of Neuropathologist, Dr. Margaret Flanagan.

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<span class="mw-page-title-main">Posterior cortical atrophy</span> Medical condition

Posterior cortical atrophy (PCA), also called Benson's syndrome, is a rare form of dementia which is considered a visual variant or an atypical variant of Alzheimer's disease (AD). The disease causes atrophy of the posterior part of the cerebral cortex, resulting in the progressive disruption of complex visual processing. PCA was first described by D. Frank Benson in 1988.

Steven T. DeKosky is the Aerts-Cosper Professor of Alzheimer's Research at the University of Florida (UF) College of Medicine, deputy director of UF’s Evelyn F. and William L. McKnight Brain Institute (MBI) and associate director of the 1Florida Alzheimer’s Disease Research Center.

<span class="mw-page-title-main">Alzheimer's disease</span> Progressive neurodegenerative disease

Alzheimer's disease (AD) is a neurodegenerative disease that usually starts slowly and progressively worsens, and is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in remembering recent events. As the disease advances, symptoms can include problems with language, disorientation, mood swings, loss of motivation, self-neglect, and behavioral issues. As a person's condition declines, they often withdraw from family and society. Gradually, bodily functions are lost, ultimately leading to death. Although the speed of progression can vary, the typical life expectancy following diagnosis is three to nine years.

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References

  1. "Rush Alzheimer's Disease Center". Rush University Medical Center.
  2. "Alzheimer's Disease Research Centers". National Institute on Aging. Retrieved 2018-01-26.
  3. Kapasi, Alifiya (2023). "High-throughput digital quantification of Alzheimer disease pathology and associated infrastructure in large autopsy studies". J Neuropathol Exp Neurol . 82 (Nov 20): 976-986. PMID   37944065.
  4. Illinois Department of Public Health (January 2014). "Alzheimer's Disease Illinois State Plan 2014-2017 Report and Recommendations" (PDF). Springfield, IL, US: State of Illinois. Retrieved 2018-01-26.
  5. Biemer, John (2010-08-13). "Nuns' other calling? Fighting Alzheimer's". tribunedigital-chicagotribune. Retrieved 2018-01-26.
  6. Bennett, David (2018). "Religious Orders Study and Rush Memory and Aging Project". J Alzheimers Dis . 64(s1): S161–S189. PMID   29865057.
  7. "Memory and Aging Project, Epidemologic Research, Rush University". Rush University. Retrieved 2018-01-08.
  8. Bennett, D. A.; Schneider, J. A.; Buchman, A. S.; Barnes, L. L.; Boyle, P. A.; Wilson, R. S. (2012). "Overview and Findings from the Rush Memory and Aging Project". Current Alzheimer Research. 9 (6): 646–663. doi:10.2174/156720512801322663. PMC   3439198 . PMID   22471867 . Retrieved 2016-12-02.
  9. Bennett, David (2018). "Religious Orders Study and Rush Memory and Aging Project". J Alzheimers Dis . 64(s1): S161–S189. PMID   29865057.
  10. Springen, Karen (2011-03-08). "Rush Medical Center Docs Seek to Solve Alzheimer's Mystery". Chicago Magazine.
  11. Yu, Lei (2023). "Vulnerability of Older Adults to Government Impersonation Scams". JAMA Netw Open . 6 (Sep 5): e2335319. PMID   37738048.
  12. L. Barnes, Lisa; C. Shah, Raj; T. Aggarwal, Neelum; A. Bennett, David; A. Schneider, Julie (2012-06-01). "The Minority Aging Research Study: Ongoing Efforts to Obtain Brain Donation in African Americans without Dementia". Current Alzheimer Research. 9 (6): 734–745. doi:10.2174/156720512801322627. ISSN   1567-2050. PMC   3409294 . PMID   22471868.
  13. Marquez, David (2020). "Representation of Older Latinxs in Cohort Studies at the Rush Alzheimer's Disease Center". Neuroepidemiology . 54 (5): 404–418. PMID   32906123.
  14. Wu, Yingjuan (2023). "High resolution 0.5mm isotropic T1-weighted and diffusion tensor templates of the brain of non-demented older adults in a common space for the MIITRA atlas". Neuroimage . 282 (Nov 15): 120387. PMID   37783362.
  15. Dawe, Robert (2018). "Association Between Quantitative Gait and Balance Measures and Total Daily Physical Activity in Community-Dwelling Older Adults". J Gerontol A Biol Sci Med Sci . 73 (Apr 17): 636–642. PMID   28957994.
  16. Buchman, Aron (2023). "Correlated decline of cognitive and motor phenotypes and ADRD pathologies in old age". Alzheimers Dement . 19 (Sep): 4150–4162. PMID   37303291.
  17. Boyle, Patricia (2022). "Degraded Rationality and Suboptimal Decision-Making in Old Age: A Silent Epidemic With Major Economic and Public Health Implications". Public Policy Aging Rep . 32 (Apr 26): 45–50. PMID   35607367.
  18. Kearns, Nicola (2023). "Dissecting the human leptomeninges at single-cell resolution". Nat Commun . 14 (Nov 3): 7036. PMID   37923721.
  19. "Community Education and Outreach - Rush Alzheimer's Disease Center - Rush University". www.rushu.rush.edu. Retrieved 2018-01-26.