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Research Grants Awarded in 2002-2003

Joel Perrella
Joel M. Perrella

Joel M. Perrella, MSc University of Toronto, Institute of Medical Sciences, St. Michael’s Hospital

The Government of Ontario/Pharmacia Canada Inc./Genesis Research Foundation/OBGYN Graduate Scholarship in Science and Technology at the University of Toronto, Faculty of Medicine.

(Scholarship: Joel M Perrella, MSc University of Toronto, Institute of Medical Sciences, St. Michael’s Hospital)

Thesis: “Mechanisms of Neuronal Cell Death and Estrogen Protection”.

Alzheimer’s disease (AD) is the most common cause of dementia, accounting for 64% of all dementias. Presently 238,000 Canadians over the age of 65 have AD and this number will rise as the aging population increases. Studies have shown that women are more susceptible to developing AD than are men, and it has been postulated that the decrease in estrogen levels during and following menopause may play a significant role in this increased risk. Many observational studies with women undergoing estrogen replacement therapy have shown estrogen to be associated with a possible preventative role against the development of AD. In support of this, experimental evidence indicates that estrogen can promote the formation of neural networks in the brain and can also protect neuronal cells from death caused by toxins that are believed to be involved in the development of AD.

Joel Perrella’s focus in the lab is on how estrogen modulates signaling pathways in the neuron that lead to the prevention of cellular death. One of these signaling pathways involves a large influx of calcium into the neuron, which has the ability to activate key enzymes that initiate the process of cellular death. Initially Mr. Perrella has investigated how estrogen regulates calcium influx into the neuron to determine if calcium modulation is one mechanism by which estrogen exerts its neuroprotective effects. As part of this work he will compare different estrogenic components of the most widely prescribed estrogen replacement therapy to determine if some estrogen components affect calcium influx to a greater degree than other components. In addition to these studies he will also look at how estrogen exerts this modulation, whether it is directly or via an interaction with its cellular and membrane receptors.

It is researcher Joel Perrella’s hope that this study will contribute to an understanding of the mechanisms responsible for the cellular death observed in disease states such as AD. More importantly, this research may provide insights into how to stop or delay the onset of neurodegenerative diseases. Paramount to these goals is the potential to develop a novel therapeutic alternative for women and men, at risk for developing Alzheimer’s disease, in the form of an estrogenic derivative that does not possess the negative side- effects typically associated with estrogen use.


Government of Ontario/R. Howard Webster Foundation/Genesis Research Foundation/Physiology Graduate Scholarship in Science and Technology at the University of Toronto.

(Scholarship: Shathiya Hulandavelu, Mt. Sinai Hospital, Department of Physiology)

Thesis: "Role of Endothelial-Derived Nitric Oxide in Maternal Cardiovascular Changes During Pregnacy."

To maintain an ideal environment in both the maternal and fetal compartments during pregnancy, the mother undergoes various adaptations including a marked, early decrease in peripheral vascular resistance. This decrease is believed to be the primary event leading to an increase in cardiac output, blood volume and a decrease in blood pressure during normal human pregnancy. The mechanisms mediating these changes are poorly understood but important because their failure likely underlies two of the most common and serious disorders of human pregnancy, preeclampsia (~7%) and fetal growth restriction (~10%).

The main mediator of the primary peripheral vasodilation in pregnancy is unknown, but the vasodilator nitric oxide (NO) is thought to play a vital role because considerable amount of data in humans and rats suggests that basal NO production is elevated during pregnancy. Also inhibition of NOS isoforms has shown to lead to preeclamptic symptoms including hypertension. Effects are likely mediated by endothelial-derived NO (eNOS) but there are no specific eNOS inhibitors available. Therefore, now with the availability of eNOS knockout (-/-) mice, the obligatory role of eNOS in mediating the cardiovascular changes seen during pregnancy can be studied. Shathiyah has shown from her initial studies that the eNOS pathway is not essential for vasodilation and increased cardiac output during early pregnancy, but plays a critical role in late gestational changes. Thus, Shathiyah will now focus to define the mechanisms involved in mediating the cardiac output changes in early and late pregnancy in normal and eNOS -/- mice by looking at changes in peripheral vascular resistance and the effects of volume expansion. Furthermore, she will examine the expression of NOS isoforms during pregnancy to gain new basic information on the regulation of eNOS expression, NOS activity and the role of NO in pregnancy.

These studies will enhance our understanding of the mechanisms controlling the normal cardiovascular changes during pregnancy, and examine the role played by nitric oxide in mediating these changes. Also, this work will establish methodology and background information required to fully exploit other genetically modified mouse models. Ultimately, this can lead to improved treatments for problems such as preeclampsia and intrauterine growth restriction.