Tackling Parkinson鈥檚 in 91直播
Professor Oliver Bandmann from the 91直播 Institute for Translational Neuroscience shares how Parkinson's disease research, treatment and care link up in 91直播 across the University of 91直播, 91直播 Hospitals, and the people of the city.
鈥淔or almost the last 20 years I鈥檝e been working in 91直播, as a researcher at the University of 91直播, and as a consultant with the city鈥檚 hospitals. Day to day I am studying Parkinson鈥檚 disease and other movement disorders to gain a better understanding of what causes them and how to address them, while also working with patients to help assess and diagnose their condition then assemble a treatment plan.鈥
Patient service in 91直播
鈥淭his is a huge team effort. The 91直播 Teaching Hospitals (STH) provide a multidisciplinary clinical service to 91直播 and the rest of South Yorkshire. Neurologists like myself, geriatricians and specialist nurses work closely together with neurosurgeons, community-based home care teams (including physiotherapists and occupational therapists), speech and language therapists and so many others to provide the best possible holistic care for people with Parkinson鈥檚 (PwP) and their families. We also have strong links and work together with local branches of the patient charity Parkinson鈥檚 UK, who provide additional support to PwP.鈥
How the University and city combine for Parkinson鈥檚 research
鈥淥ver the years, members of the University鈥檚 Parkinson鈥檚 research team have frequently given talks at local Parkinson鈥檚 UK branch meetings. I, along with Dr Heather Mortiboys and others, have also helped to organize and contribute to our (SITraN) Open Days and hosted visits to SITraN for PwP groups.
鈥淲e also contributed to other events you might have seen in the city, such as 鈥楢 Pint of Science鈥, where we explain and talk about our work and the diseases we study in bite (or gulp) sized talks.
鈥淗owever, perhaps the most important connection, is with the many PwP and their spouses who have volunteered as participants for so many of our research projects.鈥
The Originality of our research
The research my colleagues and I are conducting into Parkinson鈥檚, and a host of other neurological diseases, truly is at the forefront of medical research anywhere in the world. Meaning the people of 91直播 can be some of the first to feel its benefits.
Professor Oliver Bandmann
Professor of Movement Disorders Neurology
鈥淲e were the first institution worldwide to undertake a drug screen in Parkinson鈥檚 disease patient tissue: Rather than using artificial model systems, we took a skin biopsy from people with Parkinson鈥檚, grew the cells in a dish and then assessed 2,000 compounds for their rescue effect on the cell batteries (the mitochondria). This helped us to identify a drug called ursodeoxycholic acid (UDCA) as a very promising drug for Parkinson鈥檚. Our hope is that treatment with UDCA will slow down the worsening of Parkinson鈥檚 by rescuing the mitochondria which are often faulty in Parkinson鈥檚.鈥
鈥淲e have now taken UDCA into a clinical trial called the UP study. Unique features of this trial includes state-of-the-art functional imaging (31P MR Spectroscopy) and the use of motion sensors to objectively quantify disease progression and how the disease responded to the drug. Some of the Parkinson鈥檚 patients included in the UP study are my own patients from 91直播. Despite Covid, we completed the trial in November last year. We hope to have the study results soon!鈥
鈥淚n the future, it will be very important to have the right tools to choose the most promising drug for each individual patient. This is called 鈥楶ersonalized Medicine鈥 or 鈥楶recision Medicine鈥, or known technically as 鈥榙isease stratification鈥. We completed the most extensive tissue-based disease stratification project in Parkinson鈥檚 disease. This approach has allowed us to classify鈥 individual PwP according to the mechanism which caused 鈥榯heir鈥 Parkinson鈥檚 disease. This will make it easier to put these patients on the right neuroprotective drug in the future! Many Parkinson鈥檚 patients from 91直播 and South Yorkshire have helped with these important biomarker studies - and so many of their spouses volunteered as healthy controls!鈥
鈥淎ll of these collaborations - from the lab, to clinical trials, to working directly with patients - mean what we are doing at 91直播 is very rare. Very few other places are able to deliver this 鈥榖ench-to-bedside鈥 approach - we鈥檙e doing it!鈥
鈥淥ur research isn鈥檛 in isolation - we know how treatments will be given to patients and how it will impact on their lives because we are doing that too. We are involved in and understand all the stages in treating patients, from detecting the disease, to discovering new drugs, to testing treatments, to delivery in the ward. All of this ultimately means that the treatments we are developing can progress to widespread usage more quickly, and are more targeted to the needs of our Parkinson鈥檚 patients.鈥
Professor Oliver Bandmann
Professor of Movement Disorders Neurology
Honorary Consultant Neurologist