IRP Discoveries

Pain Research Center Accelerates IRP Pain Studies

Dedicated Staff and Cutting-Edge Technology Helps Solve Pain’s Many Mysteries

collage of researchers working with volunteers

For such a common ailment, pain remains a significant mystery. Part of the challenge of studying it is that it occurs in so many conditions and can vary from a mild ache to life-altering misery. Fortunately for both pain patients and IRP researchers studying pain, the NIH Pain Research Center has the technology and expertise to power new discoveries about pain in its many, complex forms.

On March 31 and April 1, NIH’s National Center for Complementary and Integrative Health (NCCIH) hosted a two-day virtual symposium titled “Tackling Pain at the National Institutes of Health: Updates From the Bench, the Clinic, and the New NIH Pain Research Center,” which featured presentations from a number of IRP scientists exploring important questions related to pain. Read on to learn more about some of the research discussed during that event, including efforts examining pain in patients with rare diseases, early-phase clinical trials of a new pain treatment, and investigations of how psychological factors can affect the way people experience pain.

Overturning the Orthodoxy About the Brain’s Stress Chemical

IRP Researchers Discover Unexpected Stress-Blunting Effects of Some Neurons

man showing signs of stress

The past few years have not been easy for anyone. With world events like the COVID-19 pandemic and the war in Ukraine causing everyone to worry, it’s no surprise that during this April’s annual Stress Awareness Month observance, so many people experienced high levels of stress and anxiety. While stress management techniques and talk therapy may help some people, nearly 10 million Americans need prescription anti-anxiety drugs to quell those feelings.

One important target for anti-anxiety medications is norepinephrine, a chemical released by certain neurons in the brain. Norepinephrine — also known as noradrenaline — has traditionally been considered to be a ‘stress chemical’ that triggers anxiety. However, drugs designed to target the neurons that produce it don’t always work as predicted. That’s why IRP senior investigator Patricia Jensen, Ph.D., and her colleagues in the Developmental Neurobiology Group at the National Institute of Environmental Health Sciences (NIEHS) are delving deep into the mouse brain to better understand these neurons and what exactly they do.

A One-Stop Shop for Pain Research

NIH Pain Research Center Shines Light on a Common and Complex Ailment

researcher applying thermal stimulation to a volunteer

At one time or another, practically everyone has had a headache, stubbed their toe, or scorched their mouth on a hot slice of pizza, making pain one of the few experiences that essentially all people share. Despite its everyday nature, however, pain remains extremely mysterious. Even more enigmatic is chronic pain, which may not even stem from a clearly defined source yet affects more than a fifth of American adults.

Given the near-universality of pain and its huge social and economic burden, it’s no surprise that many researchers at NIH study it. Yet, prior to 2019, there was no central, shared entity in the NIH’s Intramural Research Program that united the many scientists performing this important work. That was the year NIH’s Pain Research Center was established, with the help of funding from the NIH Director’s Challenge Innovation Awards.

Languishing Cellular Batteries Foretell Movement Problems

Prediction Method Could Help Prevent Age-Related Physical Decline

burned out lightbulb

Throughout human history, people have sought insight into their fates from self-proclaimed psychics and other dubious fortune tellers. Fortunately, scientists are increasingly developing more reliable, data-driven ways to predict the future. For instance, IRP researchers recently showed that an assessment of the cellular batteries that power our muscles can predict the deterioration of physical abilities in older adults.

Mouse Study Supercharges Neurons to Detect Parkinson’s Disease

Pushing Cells to Their Limits Could Enable Earlier Diagnosis and Treatment

overloaded lightbulb

If the many stories of mothers lifting cars to save their trapped children prove anything, it’s that we cannot know the true capabilities of our bodies until they are put to the test. This concept, it turns out, could be the key to much earlier diagnosis for Parkinson’s disease. By stimulating specific neurons to push them to their limits, IRP researchers were able to detect Parkinson’s in mice in its very early stages, opening up the possibility that a similar test could one day allow human patients to begin treatment before the disease has caused too much damage.

Restoring the Flow of Precious Saliva

IRP Researchers Aim to Regenerate Damaged Salivary Glands

open mouth showing tongue

It’s easy to take our saliva for granted. Most people have so much of it that they think nothing of spitting it out into a trash can when they finish chewing a stick of gum. Perhaps only people who have lived without it truly understand the great gift that is a perpetually moist mouth.

“Persistent dry mouth causes lots of problems with quality of life, and people forget how important saliva is until they lose it,” says IRP senior investigator Matthew Hoffman, B.D.S., Ph.D.

In honor of World Oral Health Day on March 20, a celebration of scientific efforts to reduce the burden of oral disease, I talked with Dr. Hoffman about his lab’s efforts to understand the biology of salivary gland dysfunction and translate that knowledge into treatments that bring relief to the many people suffering from it.

An Unlikely Target in the Fight Against Alzheimer’s

IRP Researchers Find Link Between Dementia and Byproducts of Cholesterol Breakdown

old man in nursing home

When most people think about Alzheimer’s disease, the liver is probably the organ least likely to come to mind. Yet recent IRP research suggests that molecules called bile acids, which are synthesized in the liver, may influence the development of Alzheimer’s disease. In honor of Brain Awareness Week this week, we’re diving into that work to learn how such an unlikely target could help lead to new treatments for Alzheimer’s and other forms of dementia.

To date, efforts to develop therapies for Alzheimer’s disease, which affects more than 6 million Americans over the age of 65, have achieved little success. Many scientists are focused on proteins in the brain as potential treatment targets, including the ‘amyloid-beta’ protein now infamous amongst Alzheimer’s researchers. In contrast, IRP senior investigator Madhav Thambisetty, M.D., Ph.D., has been exploring the role that cholesterol might play in the development of Alzheimer’s and vascular dementia, which is marked by microscopic bleeding and blood vessel blockage and is the second most common form of dementia.

Drug Duo Stokes Body’s Fat-Burning Furnace

Mouse Study Suggests Treatment Strategy Could Benefit Patients with Obesity

fire

It’s bad enough that the excess abdominal fat carried by most individuals with obesity causes widespread inflammation throughout their bodies. To add insult to injury, that inflammation actually makes it harder to use up overloaded fat stores. However, a new IRP mouse study supports a two-pronged pharmaceutical approach that could break this vicious cycle and help improve the health of people with obesity.

Mislabeled Proteins Linked to Birth Defects

IRP Researchers Discover Genetic Disorder Affecting the Brain and Skull

baby

A baby is born with a birth defect every four and a half minutes in the United States, adding up to one in every 33 babies born each year in this country. While some birth defects can be corrected or treated, many result in life-altering disabilities, and sometimes the child doesn’t survive. In fact, birth defects account for about 20 percent of infant deaths in the U.S. World Birth Defects Day, celebrated on March 3 each year, honors the people and organizations who are working to understand, prevent, and treat birth defects.

One of these organizations is the Undiagnosed Diseases Program (UDP) at NIH, which connects experts across the IRP’s 23 Institutes and Centers in a joint effort to find explanations for the “most puzzling medical cases" referred to the NIH Clinical Center.

IRP Pushes Forward in Fight Against Pandemic Virus

Many NIH Labs Remain Focused on COVID Research

SARS-CoV-2 virus particles

Since the early days of the COVID-19 pandemic, IRP researchers have been hard at work learning about the virus and developing ways to prevent and treat infections. That research remains as important as ever, particularly as the new Omicron variant of the virus continues to spread rapidly.

Fortunately, NIH’s Intramural Targeted Anti-COVID-19 Program (ITAC) has been providing IRP scientists with millions of dollars to support their research on the pandemic virus, known as SARS-CoV-2. Last week, the “I Am Intramural” blog discussed ITAC-funded efforts to learn about the biology of the virus and how it affects the body. This week, we’ll look at IRP projects focused on ways to track, treat, and prevent infections.