Researchers know advancing age and genetic variation can increase susceptibility to Alzheimer鈥檚 disease. Some, however, are wondering how a person鈥檚 life experiences 鈥 specifically culture and language 鈥 might contribute.
Postdoc Idaly V茅lez-Uribe, Ph.D., and her mentor neuropsychologist M贸nica Rosselli, Ph.D., are working to understand how a unique set of such factors shared by many Hispanics might affect their vulnerability, or resistance, to the devastating decline in brain function associated with Alzheimer鈥檚.
In spring 2021, V茅lez-Uribe was among four FAU researchers to receive funding from the Florida Department of Health鈥檚 Ed and Ethel Moore Alzheimer鈥檚 Disease Research Program. These grants support early-stage projects and, in V茅lez-Uribe鈥檚 case, professional training for new investigators. The two-year, $99,051 grant will aid her goal of becoming an independent researcher.
Decades of intense scientific effort has so far yielded only relatively modest improvements in treatment for Alzheimer鈥檚, an irreversible brain disease that is among the most common causes of death in the United States. Meanwhile, the stakes continue to rise as the American population ages.
Researchers at FAU are attacking the problem from many angles, a handful of which are represented in these grants. For their part, V茅lez-Uribe and Rosselli are working on a federally funded project, called the 1Florida Alzheimer鈥檚 Disease & Research Center, which recruits patients for long-term studies. This center includes a collaborative network of investigators from the University of Florida, University of Miami, FAU, Florida International University and Mount Sinai Medical Center.
While much previous research has focused on white, non-Hispanic patients at the expense of other groups, half of those enrolled by the center are Hispanic. This representation matters because Hispanics, like African Americans, have higher rates of Alzheimer鈥檚.
What鈥檚 more, Hispanics are the most rapidly growing racial or ethnic group in the country.
鈥淣owadays, we know a lot about what鈥檚 going on in the brains of people who develop Alzheimer鈥檚 as they age,鈥 said Rosselli, a professor of psychology in the Charles E. Schmidt College of Science. 鈥淲e鈥檙e interested in what the aging process looks like in Hispanic people, both those who develop Alzheimer鈥檚 and those who don鈥檛, and how it differs from other ethnic groups.鈥
In their research, she and V茅lez-Uribe look for links between features of the brain, such as the size of certain regions within it, and cognitive function, which could be, for example, the ability to recall the right word, to remember facts or events, or perform activities necessary for daily living. They also investigate how these attributes may vary for older people of different ethnicities or who speak two languages.
Rosselli and V茅lez-Uribe suspect that experiences common among Hispanics 鈥 such as the stress of resettling in a new country, a culture of family involvement and the ability to speak both English and Spanish 鈥 might alter their risk for abnormal cognitive decline and dementia, including that seen in Alzheimer鈥檚. For example, some research suggests that bilingualism has a protective effect on the aging brain, a controversial possibility they are currently investigating.
V茅lez-Uribe began researching Alzheimer鈥檚 after first studying the neuropsychology of bilingualism in younger people, an interest motivated by her own experience as a Spanish speaker. In her native Colombia, she could not tolerate the crass humor of the cartoon South Park. But her reaction changed when she watched the show in English. 鈥淚 saw my husband watching it, and I found myself interested. I was even able to laugh at the jokes,鈥 she said.
The experience became the basis for her master鈥檚 and doctoral research, which found evidence that bilingual people experience emotions less intensely in their second language. The move to Alzheimer鈥檚 felt like a natural continuation of this work in cross-cultural neuropsychology, V茅lez-Uribe said.聽猬
Early Detection in Rural Regions
Lun-Ching Chang, Ph.D., an assistant professor and lead biostatistician in the Charles E. Schmidt College of Science, recently earned a $6.6 million grant, to help identify and characterize unique genetic features of Alzheimer鈥檚 disease and related dementias in multicultural, underserved rural populations.
In rural regions, people are at a higher risk for Alzheimer鈥檚 disease and related dementias, as well as the associated conditions that impact the heart and blood vessels, Chang said.
The research project will compare the frequency of Alzheimer鈥檚 and related dementias, particularly conditions arising from stroke and other vascular brain injuries that cause significant changes to memory, thinking and behavior, between older adults living in western rural areas and those dwelling in urban or suburban areas of Palm Beach County. Ultimately, Chang said he hopes to identify the factors which may contribute to health disparities in these two groups.
New Ideas, New Hope
In April, the state鈥檚 Ed and Ethel Moore Alzheimer鈥檚 Disease Research Program awarded a total of $641,818 to the university. In addition to funding for V茅lez-Uribe and Rosselli, the grants are supporting the following research projects:
Growing evidence suggests that cholesterol deficiency may contribute to aging-associated brain disorders including Alzheimer鈥檚. Qi Zhang, Ph.D., in the Charles E. Schmidt College of Medicine, is investigating whether or not rebalancing brain cholesterol can reduce or even reverse neurological degeneration.
Using cells in culture and mice, Howard Prentice, Ph.D., in the Charles E. Schmidt College of Medicine, will investigate the ability of sulindac, a nonsteroidal anti-inflammatory drug, to protect against harmful neurological changes that occur in Alzheimer鈥檚.
Researchers in the Charles E. Schmidt College of Science, will use fruit flies to explore the mechanisms by which neurological degeneration occurs in Alzheimer鈥檚 and to identify how it is controlled at the genetic level.
Photography by istockphoto.com, Hywards, K_e_n, Echaev-Kon