2023 University of Michigan Kellogg Eye Center Annual Report

Page 9

OUR GROUP IS AT THE

FOREFRONT OF THE EMERGING STUDY OF TEAR BIOLOGY,

WE HOPE THAT MINING THE

MOLECULAR COMPONENTS

OF TEARS MAY YIELD NOVEL BIOMARKERS FOR NEW THERAPIES.

— Vinay Aakalu, M.D., M.P.H.

R01 Grant Vinay Aakalu, M.D., M.P.H.

Unlocking the Therapeutic Potential of Tears Kellogg is also home to one of the nation’s most robust and diverse oculoplastics research portfolios, including numerous basic, clinical and translational research grants, clinical trials, and patent applications. Dr. Aakalu in Principal Investigator on two NIH R01 grants. The latest aims to develop a novel treatment approach for the fatal disease Niemann-Pick Type C (N-P). The project leverages his groundbreaking work deriving therapeutic agents from the peptides found in tears. N-P is a rare, genetic neurodegenerative disorder characterized by the body’s inability to transport cholesterol and other fatty substances (lipids). As a result, lipids build up within brain and other cell types. In earlier research into lipid and small molecule therapies to treat dry eye and corneal injuries,

Dr. Aakalu and his colleagues discovered that the peptide they were studying had something in common with N-P; namely, the protein receptor TMEM97. “The TMEM97 receptor has been shown to impact the protein that is damaged in N-P,” explains Dr. Aakalu. “We found that TMEM97 can, in turn, be impacted by the peptide-based formula we developed for dry eye. With that knowledge, we applied those peptides to models of N-P and found that they yielded improvements in some features of the disease.” The grant will fund future studies to advance a potential peptide-based treatment for N-P. While N-P is an unusual target in ophthalmology research, the development of peptide-based therapeutics represents an exciting new frontier for treating a range of ocular disorders. “Our group is at the forefront of the emerging study of tear biology,” Dr. Aakalu says. “We hope that mining the molecular components of tears may yield novel biomarkers for new therapies.”

Patent Issued for Photo-Mediated Ultrasound Therapy A U.S. patent has been issued to Yannis M. Paulus, M.D., Xueding Wang, Ph.D., and Xinmai Yang, Ph.D., for Photomediated Ultrasound Therapy, or PUT, a noninvasive method of removing the microvessels whose growth is associated with numerous eye diseases, including wet age-related macular degeneration (AMD) and diabetic retinopathy. PUT combines synchronized nanosecond laser

pulses with bursts of ultrasound. It delivers laser pulses at more than 10 times lower intensity than conventional laser combined with synchronized ultrasound bursts, making it possible to target microvessels with much greater precision, while posing far less risk to surrounding tissue. “The ability to deliver more targeted therapy is especially valuable in the treatment of diseases such as AMD, where the growth of new blood vessels tends to cluster around the fovea—the center of the macula,” explains Dr. Paulus. “Unlike conventional laser treatment, which can result in a blind spot in the patient’s center of vision, PUT can remove microvessels while preserving central vision.” 7


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Articles inside

Partnership between U-M Med School, Business School, and the Kellogg Eye Center Drives Latest Kenya

4min
pages 38-39

The Edna H. Perkiss Research Professorship in Ophthalmology and Visual Sciences

3min
page 37

Honoring the Visionary Leadership of Paul P. Lee, M.D., J.D.

3min
page 36

The Alan Sugar, M.D., Research Professorship in Ophthalmology

3min
page 35

Mark W. Johnson, M.D., Honored with Heed-Gutman Award

2min
page 34

Protecting Retinal Neurons from Diabetes

2min
page 34

Mining Big Data for Novel Glaucoma Genes

3min
page 33

Beyond the Electronic Health Record

5min
pages 32-33

Applauding a Good Catch

2min
page 31

Microneedles for Sustained Retinal Drug Delivery

2min
page 30

Alumni Highlights

4min
pages 29-30

Lecture in Professionalism and Ethics

1min
page 29

Molecular Imaging of Macular Degeneration

2min
page 28

Institutional Grants Anchor Research Infrastructure, Training

5min
pages 26-27

2023-2024 Heed Fellows

5min
pages 24-25

Pre-Med Awarded NIH Research Supplement

2min
page 23

Kellogg PGY4 Sole Resident on ACGME Residency Program Review Committee

2min
page 22

Kellogg Post-Doc Receives Prestigious NIH Grant

2min
page 21

An Out-of-This-World Perspective on Residency from one of Forbes’ Thirty-Under-Thirty

3min
page 20

Expanding Personalized Treatment and Clinical Research in Uveitis

3min
page 19

KCRC Assists in Michigan Medicine Research with Consequences for Eyes

3min
page 18

Editing Genes to Treat Corneal Dystrophies

3min
page 17

Using Artificial Intelligence to Improve IOL Formulas

3min
page 16

Selfless Service Beyond Kellogg’s Walls

1min
page 15

The Genes That Drive Eye Size

2min
page 15

Image-Guided Medical Robotics Comes to Kellogg

3min
page 14

How Inflammation Triggers Photoreceptor Regeneration

2min
page 13

The Molecular Physiology of the Blood-Retinal Barrier

3min
page 12

Prioritizing Patient Wellness—and Our Own

3min
page 11

Michigan's 15th President Joins the Department

3min
page 10

Patent Issued for Photo-Mediated Ultrasound Therapy

1min
page 9

Unlocking the Therapeutic Potential of Tears

2min
page 9

Oculoplastics: Building on an Extraordinary Legacy

3min
page 8

Assessing Age-Related Vision Impairment

3min
page 7

For IRD Patients, Tailored Interventions Address Impaired Vision and Related Distress

3min
page 6

A Rare Syndrome, A Team Approach

4min
pages 4-5

2023 University of Michigan Kellogg Eye Center Annual Report

3min
page 3
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