An advanced graduate course on the pathology of nervous system disorders
When: Tuesdays 4:45-7:00p
Where: Farrell Learning & Teaching Center (FLTC) 205 (Medical Campus)
About the Course
Course Description
This is an advanced graduate course on the pathology of nervous system disorders. This course is primarily intended to acquaint Neuroscience graduate students with a spectrum of neurological diseases, and to consider how advanced neuroscientific approaches may be applied to promoting recovery in the brain.
Topics will be presented by Washington University faculty members and include: neurooncology, stroke, retinal disease, perinatal brain injury, neurodegenerative disorders, neuroinflammation, epilepsy, and psychiatric disorders.
The class will meet for 2 hours each week. Each session will be led by a faculty guest with expertise in a specific neurological or psychiatric disease. In the first hour, the speaker will discuss clinical manifestations and pathophysiology. Where possible, the clinical presentation will be supplemented with a patient demonstration or videotape. After a thirty minute break for pizza and soda, the second hour will follow a journal club format. Two or three students will review current papers assigned by the speaker or course director.
Enrollment
The class is open to advanced PhD and MD/PhD graduate students in the Neuroscience program. First-year Neuroscience graduate students may enroll only with permission from the advisory committee. Graduate students in other programs, faculty, upper-level undergraduates, resident physicians, and postdoctoral fellows are invited to enroll if space allows with prior arrangement with the course director. Regardless of course status (credit, no credit, audit, non-student etc), every participant is expected to present papers, contribute to discussion, and attend all lectures.
Prerequisite
Introductory neuroscience course at the graduate or medical school level.
Credit
Two credit hours. There is no lab or discussion section. Pass/fail or audit only by prior arrangement.
Assignments
No required text. Two papers will be assigned for review prior to each session. Each student will present at least two or three papers during the course. Grades will be determined on the basis of presentations and class participation.
Journal Club format
We have 30 minutes for each paper. There will be lots of discussion so your part of the presentation must take no more than 15 minutes. Time limits will be strictly enforced! The goal is a critical review (see below). Identify strengths and weaknesses.
Do not attempt to show every figure! Choose the few key figures which illustrate the main points of the paper, or which demonstrate an important method, innovation, or problem. Please look at the suggested outline below; presentation of the experimental findings is only part of your job. Be sure to allow adequate time for your introduction and discussion.
You’ll be reviewing papers outside your area of expertise. If there’s a topic, method, or result you don’t understand, get more information before your presentation. Feel free to ask another student for help or review the presentation before the class. If you’re still confused, find another expert or ask the guest speaker. Remember, most of this material will be new to your audience as well.
Your presentation should be in PowerPoint for Windows, using the PC and projector provided in the classroom. Bring your PowerPoint presentation on a USB flash memory drive. You may bring your own laptop only if absolutely necessary; please come 15 min before class to make sure it’s working!
Please use good graphics. The text must be visible from the back of the room. In general this means no more than 7 lines of text or >= 20 pt fonts. Don’t just type out your presentation. Enlarge figures and tables to fill the page. Practice explaining each figure (what’s on each axis?) before stating the results.
It’s fine to use images (graphics, schematics, etc.) obtained from the web or another paper. You must indicate the source of each image (other than the paper you are reviewing) on the same page. If you use text from any source, enclose it in quotes and show the appropriate citation.
1. Set up the issue; what is the intellectual context or paradigm within which the study was conceived?
2. What is the hypothesis? Consider whether the hypothesis is reasonable in the above context.
3. What is the experimental design? Is the design reasonable? Is it feasible? Does the design test the hypothesis? Is the model appropriate for the disease under consideration?
4. What are the main findings? Are the data depicted in a straightforward fashion? Are the statistics appropriate? What are the secondary findings?
5. What is your interpretation of the data? What is the author’s interpretation? If these differ, is one interpretation more reasonable than the other? Does the author’s interpretation incorporate the findings in their entirety or in a selective fashion? Does the interpretation make sense in the present paradigm? Or does it challenge conventional thinking, etc.
6. What would be the next important experiment to confirm, extend, refute, the findings?
January 14, 2025
Chris Weihl, MD, PhD: Course Introduction
January 21, 2025
Chris Weihl, MD, PhD: Inclusion body myopathy, ALS and FTD: mutlisystem proteinopathy
Journal Club presenters: Aishwarya Nambia and Miwei Hu
- “Loss of TDP-43 function and rimmed vacuoles persist after T cell depletion in a xenograft model of sporadic inclusion body myositis”
Science Translational Medicine, 2022 - “Seeding-competent TDP-43 persists in human patient and mouse muscle”
Science Translational Medicine, 2024
January 28, 2025
Erik Musiek, MD, PhD: AD in general, neuroinflammation/glia, and/or sleep/circadian in neurodegeneration
Journal Club presenters: Kaitlyn Strandberg and Ashlyn Kapinski
- “Homeostatic microglia initially seed and activated microglia later reshape amyloid plaques in Alzheimer’s Disease” Nature Communications, 2024
- “The sleep-wake cycle regulates brain interstitial fluid tau in mice and CSF tau in humans” Science, 2020
February 4, 2025
Brian Gordon, PhD: Imaging and Aging
Journal Club presenters: Suranjana Pal and Ke Ning
- “Tau PET patterns mirror clinical and neuroanatomical variability in Alzheimer’s disease” Brain, 2016
- “APOEε4 associates with microglial activation independently of Aβ plaques and tau tangles” Science Advances, 2023
February 11, 2025
Suzanne Schindler, MD, PhD: Alzheimer’s disease biomarkers
Journal Club presenters: Zhao Sun and Wenbo Wu
- “Blood Biomarkers to Detect Alzheimer Disease in Primary Care and Secondary Care” JAMA Neurology, 2024
- “CSF MTBR-tau243 is a specific biomarker of tau tangle pathology in Alzheimer’s disease” Nature Medicine, 2023
February 18, 2025
Laura Wiley, PhD: EMR and Clinical Trial Simulations
Journal Club presenters: Aidan Evans-Strong and Jiacheng Huang
- “Computable Phenotype Implementation for a National, Multicenter Pragmatic Clinical Trial” Circulation: Cardiovascular Quality and Outcomes, 2020
- “Combining billing codes, clinical notes, and medications from electronic health records provides superior phenotyping performance” Journal of the American Medical Informatics Association, 2016
February 25, 2025
Cindy Ly, MD, PhD: ALS
Journal Club presenters: Eunji Chang and Shea Sundali
- “Dual-targeting CRISPR-CasRx reduces C9orf72 ALS/FTD sense and antisense repeat RNAs in vitro and in vivo” Nature Communications, 2024
- “Genetic Ablation of Sarm1 Mitigates Disease Acceleration after Traumatic Brain Injury in the SOD1G93A Transgenic Mouse Model of Amyotrophic Lateral Sclerosis” Annals of Neurology, 2025
March 4, 2025
Bhooma Aravamuthan, MD, DPhil: Dystonia in Cerebral Palsy
Journal Club presenters: Carol Ortiz Menendez and Suranjana Pal
Check back for list of papers.
March 18, 2025
Gus Davis, MD, PhD: Parkinson’s Disease
Journal Club presenters: Joey Zemke and Aishwarya Nambiar
Check back for list of papers.
March 25, 2025
Renatta Knox, MD, PhD: Facioscapulohumeral muscular dystrophy (FSHD)
Journal Club presenters: Miwei Hu and Ke Ning
Check back for list of papers.
April 1, 2025
Stefanie Geisler, MD: Neuropathy
Journal Club presenters: Aidan Evans-Strong and Zhao Sun
Check back for list of papers.
April 8, 2025
Mai Dang, MD, PhD: Brain Tumors
Journal Club presenters: Sungmin Park and Jiyu Park
Check back for list of papers.
April 15, 2025
Chris Smyser, MD: Neurologic neonatal ICU
Journal Club presenters: Sam Dunn and Maryam Azadi
Check back for list of papers.
April 22, 2025
Matthew Brier, MD, PhD: Multiple Sclerosis
Journal Club presenters: Allison Haussler and Eunji Chang
Check back for list of papers.