Grinberg Lea Tenenholz, Ferretti Renata Eloah de Lucena, Farfel José Marcelo, Leite Renata, Pasqualucci Carlos Augusto, Rosemberg Sérgio, Nitrini Ricardo, Saldiva Paulo Hilário Nascimento, Filho Wilson Jacob
Department of Pathology, University of Sao Paulo Medical School, Sao Paulo, SP 01246-903, Brazil.
Cell Tissue Bank. 2007;8(2):151-62. doi: 10.1007/s10561-006-9022-z. Epub 2006 Oct 31.
Brain banking remains a necessity for the study of aging brain processes and related neurodegenerative diseases. In the present paper, we report the methods applied at and the first results of the Brain Bank of the Brazilian Aging Brain Study Group (BBBABSG) which has two main aims: (1) To collect a large number of brains of elderly comprising non-demented subjects and a large spectrum of pathologies related to aging brain processes, (2) To provide quality material to a multidisciplinar research network unraveling multiple aspects of aging brain processes and related neurodegenerative diseases.
The subjects are selected from the Sao Paulo Autopsy Service. Brain parts are frozen and fixated. CSF, carotids, kidney, heart and blood are also collected and DNA is extracted. The neuropathological examinations are carried out based on accepted criteria, using immunohistochemistry. Functional status are assessed through a collateral source based on a clinical protocol. Protocols are approved by the local ethics committee and a written informed consent form is obtained.
During the first 21 months, 1,602 samples were collected and were classified by Clinical Dementia Rating as CDR0: 65.7%; CDR0.5:12.6%, CDR1:8.2%, CDR2:5.4%, and CDR3:8.1%. On average, the cost for the processing each case stood at 400 US dollars. To date, 14 laboratories have been benefited by the BBBABSG.
The high percentage of non- demented subjects and the ethnic diversity of this series may be significantly contributive toward aging brain processes and related neurodegenerative diseases understanding since BBBABSG outcomes may provide investigators the answers to some additional questions.
脑库对于研究衰老大脑过程及相关神经退行性疾病仍然是必要的。在本文中,我们报告了巴西衰老大脑研究组脑库(BBBABSG)所采用的方法及初步结果,该脑库有两个主要目标:(1)收集大量老年人的大脑,包括非痴呆受试者以及与衰老大脑过程相关的多种病理情况;(2)为一个多学科研究网络提供高质量材料,以揭示衰老大脑过程及相关神经退行性疾病的多个方面。
研究对象选自圣保罗尸检服务机构。大脑组织部分被冷冻和固定。还收集脑脊液、颈动脉、肾脏、心脏和血液并提取DNA。神经病理学检查依据公认标准,采用免疫组织化学方法进行。通过基于临床方案的旁系来源评估功能状态。方案经当地伦理委员会批准,并获得书面知情同意书。
在最初的21个月里,共收集了1602份样本,根据临床痴呆评定量表分类为:CDR0:65.7%;CDR0.5:12.6%,CDR1:8.2%,CDR2:5.4%,以及CDR3:8.1%。平均而言,处理每个病例的成本为400美元。迄今为止,已有14个实验室受益于BBBABSG。
该系列中非痴呆受试者的高比例以及种族多样性可能对理解衰老大脑过程及相关神经退行性疾病有显著贡献,因为BBBABSG的成果可能为研究人员提供一些额外问题的答案。