PIPages
Labs

Brian Gold

University of Kentucky, KY·Neuroscience

Many older adults lose memory and thinking ability years before a diagnosis. The causes go beyond the amyloid and tau proteins linked to Alzheimer's disease (AD).

Fields

Neuroscience

Psychology

Medicine & Clinical Research

Topics

vascular cognitive impairment and dementia

small vessel disease

blood-brain barrier

Grants
2 known grants, through Feb 2027

What they work on

  1. Test whether low blood-brain barrier water exchange, measured with the new DW-ASL MRI sequence, predicts growth of white matter hyperintensities over about 3 years in healthy older adults.
  2. Determine whether low BBB water exchange predicts later cognitive decline and is linked to oxidative stress, measured as isoprostane levels in cerebrospinal fluid.
  3. Identify how brain iron, measured by quantitative susceptibility mapping (QSM), affects the functional and structural networks that support memory, using fMRI and diffusion tensor imaging.
  4. Test whether brain iron, inflammatory markers and amyloid/tau pathology combine to drive cognitive decline, and whether cognitive reserve or an antioxidant-rich diet offsets iron's effects.

More about the research

One cause is damage to the brain's small blood vessels. Another is the slow buildup of iron in brain tissue. Doctors lack non-invasive tools to spot these processes early. The lab uses advanced magnetic resonance imaging (MRI) in healthy older adults to find early warning signs of later decline. Two linked projects each follow about 140 people, collecting brain scans, blood and cerebrospinal fluid (CSF, the fluid around the brain and spine) at the start. A subset returns about 3 years later.

Why it matters

Early warning signs could help doctors identify older adults at high risk of Alzheimer's disease or vascular dementia before major symptoms appear. They could also help track decline as disease progresses and enroll the right people in clinical trials. Blood-brain barrier water exchange and brain iron imaging are both non-invasive MRI measures that could serve this purpose.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Identifying Associations between Brain Iron, Neurocognitive Networks and Protective Factors

NIH · May 2021 – Feb 2027

Reduced BBB Water Exchange as a Preclinical Biomarker of Small Vessel Disease

NIH · Feb 2022 – Jan 2027

Closest labs

Hanzhang Lu

Johns Hopkins University, MD·Biomedical Engineering

Develop VICTR MRI, a non-contrast method that measures venous transit time from changes in T1 relaxation, in six major brain veins including the superior sagittal sinus and internal jugular veins.

Peiying Liu

University of Maryland, Baltimore, MD·Biomedical Engineering

Develop normalized cerebrovascular reactivity (nCVR) MRI, which uses oxygen-breathing responses to correct CO2-breathing responses. Test whether it is more reproducible and better at detecting reduced reactivity than standard BOLD-based CVR.

Minjie Wu

University of Pittsburgh, PA·Neuroscience

Test whether women show faster cerebrovascular aging than men. Use 7T MRI measures of blood-brain barrier function, small artery and vein shape (VesselMapper, BrainVein) and white matter hyperintensities.

The school

University of Kentucky: 34 labs on PI Pages, $528M a year on research, 319 research doctorates a year.

More about University of Kentucky

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