"Brain Bank" to Foster Research, Treatment of Major Psychiatric Diseases

/ Author:  / Reviewed by: Joseph V. Madia, MD

Johns Hopkins Children's Center neurovirologist Robert Yolken, M.D., and collaborators from the Stanley Medical Research Institute have developed a large repository of brain and tissue samples to advance the understanding and treatment of bipolar disorder, depression and schizophrenia.
The database contains information accumulated over the last 12 years on what may be its most valuable asset: 45 human brains obtained post mortem from people with psychiatric disorders. The brain bank has a reserve of 600 brains that can be accessed for analysis as the 45-brain cohort gets depleted.

Brain tissue, which is rare to come by, is the most reliable "carrier" of direct clues to psychiatric and neurologic disorders because it contains biomarkers, the biological footprints left behind by illness, according to Yolken. Once identified, biomarkers can reveal clues about the origin of a disorder, the molecular chain of events that causes full-blown disease.

"Sharing information quickly and efficiently with fellow researchers is critical to advancing knowledge," says Yolken. "We encourage scientists to take advantage of this invaluable resource."

The database's inventory of 60 human brains includes 15 from people diagnosed with schizophrenia, 15 from patients with bipolar disorder and 15 from people with major depression, as well as 15 from unaffected people. In addition, the databank provides software that allows for powerful analyses of 1,749 neuropathology datasets, as well as several gene expression datasets.

Investigators can look at research by others, examine the data with the available tools or download the raw data to analyze on their own. For example, a researcher studying schizophrenia can sort information for brain regions involved in the disorder, for chemicals abnormally high or low in people with the disease and for expression of particular genes.

The database also contains information about other patient-specific factors including age, gender, duration of illness, brain pH, alcohol, drug use and smoking. In addition to brain samples, the brain bank offers blood, lymphocytes, cerebrospinal fluid, liver and spleen tissue from the same patients, all of which may also provide clues to disease activity.

Funded by the Stanley Medical Research Institute, Yolken's lab has conducted research on the role that viral and bacterial infections such as herpes, Epstein-Barr, toxoplasma and the flu play in the development of schizophrenia and bipolar disorder.

"One day, we want to be able to say definitively whether immune response triggered by these infections can alter brain development and lead to disease," Yolken says. "And if so, whether antiviral drugs and antibiotics used to treat these infections can also improve psychiatric symptoms."

Ekaterina Pesheva

Reviewed by: 
Review Date: 
September 16, 2010