Research

The VanderHorst lab studies how dysfunction of brainstem circuits causes non-motor and hard to treat motor symptoms in Parkinson’s Disease and non-cognitive symptoms in Alzheimer’s Disease and aging. Examples are problems with walking and balance and abnormal breathing during sleep (as in sleep apnea). One key component that we often need to address first is how brainstem circuits modulate these fundamental functions in the first place. The overall goal is to develop approaches to promote function. Our current focus is on sleep disordered breathing (e.g. sleep apnea) and gait disorders (e.g. shuffling and slowed walking) which are very common in the aging population, hard to manage, and have a major impact on quality of life.
We use state of the art mouse models in parallel to research in human subjects and clinical pathological studies to integrate neuro-physiological, neuro-anatomical, neuropathological, and clinical perspectives. By developing approaches that allow for translation between mouse models and human subject research and vice versa we aim to align these different complementary research models and take advantage of their strengths.

Gait Disorders

Our major goal is to identify circuits in the brainstem that control “normal” walking, posture and tone as well as determine which neuropathologies affect these circuits (in human tissues), how dysfunction in these circuits results in different types of gait disorders, and how circuit modulation can correct these symptoms.

Sleep Disordered Breathing

Our major goal is to identify circuits in the brainstem modulate the control of upper airway muscles, breathing and arousal during sleep, as relevant for sleep apnea. Similar to the gait line, we determine which neuropathologies affect these circuits (in human tissues), how dysfunction in these circuits results in different types of sleep disordered breathing, and how circuit modulation can correct these symptoms.

Other Directions

As there are many circuits in the brainstem that have not been fully studied, we serendipitously have found circuit nodes that are not relevant for walking gait or sleep disordered breathing but for other poorly understood debilitating conditions. One example is dystonia, which are twisting, repetitive, and often painful movements that interfere with normal movements of postures. Our aim is to develop these findings into separate research lines, modeled by the above studies.