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Professor Roy Ben-Shalom with six members of his lab. All are wearing white lab coats and smiling at the camera.

Research to develop personalized treatments for children with neurodevelopmental disabilities

The Hartwell Foundation will fund collaboration between UC Davis Health and University of Pennsylvania researchers

(SACRAMENTO)

Researchers at UC Davis Health and the University of Pennsylvania are working together to identify precision therapies for children with neurodevelopmental disabilities caused by ion-channel disorders.

Roy Ben-Shalom, assistant professor of neurology at UC Davis Health and the UC Davis MIND Institute, and Pranam Chatterjee, assistant professor of bioengineering and computer science at the University of Pennsylvania, recently received a Biomedical Research Collaboration Award from The Hartwell Foundation that will support the research. Both investigators were recipients of a 2022 Hartwell Individual Biomedical Research Award.

Ion channels are proteins that act as tiny gates in brain cells. Each one forms a pore that can open and close in a fraction of a millisecond. These channels control the movement of charged ions (such as sodium and potassium) in and out of neurons. The movement of those ions generates the electrical signal a neuron uses to fire, and how quickly the channels open and close sets how readily it fires. This neural activity affects the brain’s circuitry and functioning.

Ion-channel disorders, known as channelopathies, occur when genetic changes affect how ion channels work. A mutation can leave a channel opening too easily, closing too slowly or barely opening at all. Neurons then fire too much, too little or at the wrong moments, and the circuits they form develop differently. The result can be a neurodevelopmental disability, such as autism or childhood epilepsy.

“Every child with an ion-channel variant has a slightly different pattern in how their neurons fire. Each variant would need its own lab experiments before we could match it to a treatment,” Ben-Shalom explained. Ben-Shalom works on predicting the excitability of brain neuronal circuits in neurodevelopmental conditions.

According to Ben-Shalom, there are far more variants and candidate treatments than any lab can work through. His lab has spent years studying how these variants alter neuronal firing.

Precision medicine would mean developing treatments that correspond to each specific case. “For most of these children, we simply do not know what will help them,” he said.

Professor Ben-Shalom is pointing at a computer monitor showing electric signals. A researcher is standing next to him.
The Ben-Shalom Lab studies brain neuronal circuits in neurodevelopmental conditions.

Synergy to find better treatment, faster

Today, each variant must first be measured in months of laboratory recordings. That is why only a small fraction of the thousands of known variants have been studied this way.

To speed up the process, the Ben-Shalom and Chatterjee Labs will use simulations to predict those measurements. Then, they will rank which approved medications are most likely to correct each variant and design new molecules for the variants that no existing drug fits. The collaboration combines Chatterjee’s AI-driven molecular design with Ben-Shalom’s expertise in how genetic changes affect brain function.

“We are determined to develop potential treatments tailored to the biology of childhood neurodevelopmental disabilities,” Chatterjee said. Chatterjee is the Africk-Lesley Distinguished Scholar of Innovation in Engineering.

He will use computational methods to develop models that can predict how gene mutations alter the three-dimensional shape of a channel and the way it opens and closes. These models will inform the design of molecules that can correct how these channels behave. The Ben-Shalom Lab will test the predictions against measurements of the electrical currents in neurons that carry the same variants.

Professor Pranam Chatterjee and two researchers in his lab smile at the camera.
Professor Pranam Chatterjee, at right, with two researchers in his lab. Photo credit: Sylvia Zhang, Penn Engineering.

“What excites me about this project is that we can bring that accumulated data into models that predict which interventions are worth trying, narrowing an impossible number of possibilities down to the few worth testing,” Ben-Shalom said.

With the Chatterjee Lab’s ability to design a molecule aimed at one specific variant, the collaboration could mean a family gets a treatment matched to their child’s mutation rather than to a diagnosis. This synergy in the researchers’ expertise will expedite unlocking the mysteries of brain circuitry, starting from the neuron’s electric gatekeepers, the ion channels.

“We are grateful to The Hartwell Foundation for giving us this unique opportunity to turn our complementary strengths into new therapeutic possibilities for children and their families,” Chatterjee said.

“Together, the two groups will create a variant-to-therapy framework that connects molecular mechanism to treatment selection and therapeutic design,” said Fred Dombrose, president of The Hartwell Foundation. “Each laboratory will address complementary components of the same challenge by contributing technologies that solve a critical part of the problem.”

The award provides $770,000 in direct cost over two years.