UKDP: Integrated DEmentiA research environment (IDEA)

Lead Research Organisation: University of Cambridge
Department Name: Psychiatry

Abstract

The UK Dementias Platform (UKDP) is a radically new approach to dementias research. It brings together data from
around 2,000,000 study participants from 22 cohorts to try and discover the causes of dementia and to find out ways of
slowing it down. The platform has been funded to the level of £12M.
In this proposal we want to improve UK infrastructure for dementia research so that the most can be made of the
opportunity provided by UKDP. We wan to improve the infrastructure by buying important pieces of equipment that will put
the UK at the forefront of dementia research worldwide and by establishing networks of scientists who will work together to
make best use of the equipment.
The three themes of the proposal are imaging, informatics and stem cells.
For imaging we want to establish a network of PET/MR scanning facilities across the UK so that the molecular processes
going on inside the brain that cause dementia can be studied.
For informatics we want to be bring together bas many different types of data as possible and make it easy as possible for
scientists to use them
For stem cells we want to take cells form adults with and without dementia to find out how cells change as the dementias
process begins and progresses.
We believe these proposals will raise standards, reduce costs, and deliver innovative and coordinated research, making
the UK an internationally unique place to study dementia.

Technical Summary

Our objective is to achieve a step-change in UK dementia research capacity through establishing national networks of
existing and emerging centres of excellence in imaging, informatics and cell-biology.
The UK Dementias Platform (UKDP) is a radically new approach to dementias research, providing a highly efficient and
cost-effective translational pipeline from discovery through to early phase trials. UKDP will create closer synergy between
epidemiology and experimental medicine with the re-purposing of epidemiologic cohorts for trials readiness. The size and
depth of phenotyping available to UKDP will deliver a step-change in the complexity and granularity of dementia related
hypothesis testing and accelerate compound development.
Proposed here is an infrastructure of investment and collaboration. Underpinning UKDP is a critical mass of researchers
and resources that will work together to encourage, facilitate, and develop a fully integrated dementia dedicated UK
research environment. This will raise standards, reduce costs, and deliver innovative and coordinated research, to make
the UK an internationally unique research environment. Through its partnership with major academic centres and industry,
UKDP is well positioned to achieve this goal.
Building on the recent MRC investment in UKDP, we propose here to renew and extend the UKDP integrative research
environment with an advanced molecular imaging network strategically located to exploit UKDP cohorts. Also proposed is
an integrated informatics environment to facilitate the location of and access to both data and bio-samples. The third
proposal is for a stem-cells network to promote the use of this important and emerging technology. Each of these elements
adds value to existing infrastructure investments and fills significant gaps in the UK research landscape.

Planned Impact

The current proposal in in support of the UKDP and will become part of the the UKDP impact strategy.
In summary, the UKDP strategy to deliver pact is to develop networks of partnership to actively consult engage the UK
academic community in relation to dementia research focussing on the direction,
technologies and collaborations of the UKDP and the wider UK national infrastructure.
Our aim is to:

1) promote the best possible science
2) create momentum in dementias research by being inclusive of, and synergistic with, other initiatives.
Partnership discussions with industry are already underway with exchanges of ides, interests and needs between
academic and industry stakeholders. Industry have identified their need for access to conversion (early MVI to dementia
cohorts and for experimental medicine studies to conform to regulatory requirements.
We remain committed to raising the profile of contemporary debate about dementia and its treatment. We wish to
encourage a culture of commitment to solving this problem. By increasing awareness at all levels of society we intend to
leverage resources for the platform and for dementia research in general, to increase awareness of the need for earlier
interventions and better targeted treatment in general by health service providers and the public alike.
Engagement with the general public and with patients and carers is a very important part of our mission. This serves not
only to communicate our research findings and their relevance but also to address such issues as stigma in society and the
research culture in the NHS in relation to dementia and older people. In addition to using the platform web-site to
communicate to the general public, we will also liaise with charities and advocate groups such as Age UK and the
Alzheimer's Society to promote our work and findings and to engage them in shaping the work programme.
In addition we will have a dedicated free-phone number available 6 days a week and a communications officer at 50% FTE
over 5 years whose responsibility is to develop and implement a communications and public engagement strategy.

Publications

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Annus T (2016) The pattern of amyloid accumulation in the brains of adults with Down syndrome. in Alzheimer's & dementia : the journal of the Alzheimer's Association

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Bevan Jones WR (2016) [18F]AV-1451 PET in behavioral variant frontotemporal dementia due to MAPT mutation. in Annals of clinical and translational neurology

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Bevan-Jones RW (2018) [18F]AV-1451 binding is increased in frontotemporal dementia due to C9orf72 expansion. in Annals of clinical and translational neurology

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Bevan-Jones WR (2019) In vivo evidence for pre-symptomatic neuroinflammation in a MAPT mutation carrier. in Annals of clinical and translational neurology

 
Description AS-PG-19a-016. Brief all-in-one diagnostic MR-PET scan to predict progression to Alzheimer dementia in MCI patients.
Amount £383,580 (GBP)
Organisation Alzheimer's Society 
Sector Charity/Non Profit
Country United Kingdom
Start 04/2021 
End 03/2024
 
Description Cambridge Mathematics of Information in Healthcare (CMIH).
Amount £1,275,504 (GBP)
Organisation Engineering and Physical Sciences Research Council (EPSRC) 
Sector Public
Country United Kingdom
Start 09/2020 
End 09/2023
 
Description Dementias Platform MR-PET Partnership
Amount £860,793 (GBP)
Funding ID MR/N025792/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 09/2016 
End 09/2019
 
Description Improving the diagnosis of dementia with deuterium metabolic imaging (DMI).
Amount £62,826 (GBP)
Organisation The Evelyn Trust 
Sector Charity/Non Profit
Country United Kingdom
Start 01/2021 
End 12/2021
 
Description In vivo neurite morphology: a novel MRI biomarker of dementia with Lewy bodies?
Amount £222,395 (GBP)
Organisation Alzheimer's Society 
Sector Charity/Non Profit
Country United Kingdom
Start 10/2019 
End 09/2022
 
Description MICA: Dementias Platform UK 2 - Integrated Dementia Experimental Medicine
Amount £7,670,825 (GBP)
Funding ID MR/T033371/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 01/2021 
End 12/2025
 
Description MICA: Dementias Platform UK 2 - Integrated Dementia Experimental Medicine.
Amount £7,494,579 (GBP)
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start 01/2021 
End 12/2025
 
Description Rates, Risks and Routes to Reduce Vascular Dementia (R4VaD) (Joint funding with Stroke Association and Alzheimer's Society for Advancing Care and Treatment of Vascular Dementia (ACT-VAD))
Amount £538,080 (GBP)
Funding ID SP/17/7/33093 
Organisation British Heart Foundation (BHF) 
Sector Charity/Non Profit
Country United Kingdom
Start 09/2017 
End 08/2021
 
Description Using ultra-high resolution magnetic resonance imaging to examine structure, iron deposition and neurochemistry in Dementia with Lewy bodies.
Amount £224,980 (GBP)
Funding ID 393 
Organisation Alzheimer's Society 
Sector Charity/Non Profit
Country United Kingdom
Start 08/2019 
End 08/2022
 
Title Webresource for those working in PET-MR, focusing on competencies needed and how to meet these through training courses and programmes. 
Description Webresource for those working in PET-MR, focusing on competencies needed and how to meet these through training courses and programmes. This resources also highlights current PET-MR capacity in the UK. 
Type Of Technology Webtool/Application 
Year Produced 2019 
Impact The product has been described in a publication (Mada et al, 2019). 
URL https://www.dpuk-mripet.info/