March of Dimes Current Investment in Research and Service in Pennsylvania 2005 Research Grants* The March of Dimes funds several different types of research, all aimed at preventing birth defects, prematurity, and infant mortality. These programs include basic research into life processes; clinical research that relates to health and disease as it applies to prevention and treatment of specific birth defects; the study of environmental hazards; and research in social and behavioral science relevant to our mission. *Below is a list of grants active in 2005 that include awards distributed over two and three-year grant cycles. Grantee Funded Project Amount The Wistar Institute Kazuko Nishikura, PhD *** Professor Department of Molecular Genetics Date: 6/1/2002-5/31/2005 To study how a family of genes (ADAR) apparently edits genetic messages (RNA) during embryonic development, resulting in production of new proteins crucial for normal red blood cells development. Goal: Develop new treatments for certain congenital anemias. $191,285 The Wistar Institute Jumin Zhou, PhD *** Assistant Professor Department of Molecular Genetics Date: 6/1/2003-5/31/2005 To study the operation of a recently discovered, short stretch of DNA called the Promoter Targeting Sequence, which helps regulate activity of a master gene that orchestrates development of the rear half of the body of the fruitfly, and that has a counterpart in humans. Goal: Clarify a previously unknown mechanism that may regulate other master genes and thus play pivotal roles in embryonic body formation. To explore functions of a fruit fly protein called YinYang-1, which may help regulate activity of certain master genes that direct aspects of embryonic and later development, including that of the nervous system. Goal: Learn whether its mammalian counterpart is of similarly central importance, so that genetic or environmental interference with it may account for birth defects of as yet unknown origin. To identify genes that regulate the activities of Sonic hedgehog (Shh), a gene that is crucial for normal brain development. Abnormal Shh function can cause holoprosencephaly, a complete or partial failure of the brain to separate into hemispheres, with effects that can include profound mental retardation, severe facial defects and death at any point from embryonic to postnatal periods of development. Goal: Improve understanding of the causes of holoprosencephaly, which affects 1 in 250 embryos, as a basis for learning to prevent it. $191,400 To identify genetic variations that help to account for the two- to three-fold higher rate of preterm delivery among African Americans, and for the fact that some preterm infants suffer more severe consequences of prematurity than others. Goal: key genetic elements may lead to targets for intervention to prevent preterm delivery or some of the harm that it does. $482,220 University of Pennsylvania School Veterinary Medicine Michael L. Atchison, PhD*** Professor of Biochemistry Department of Animal Biology Date: 6/1/2002-5/31/2005 University of Pennsylvania Department of Genetics Douglas J. Epstein, PhD Assistant Professor Date: 6/1/2005-5/31/2008 University of Pennsylvania Center for Research on Reproduction and Women's Health Jerome F. Strauss, III, MD, PhD Professor and Director Department of Obstetrics & Gynecology Date: 3/1/2005-8/31/2005 SEPA/Program/Grants National/2005 PA Grants $194,659 $283,848 Grantee Funded Project Amount University of Pennsylvania Meera Sundaram, PhD*** Assistant Professor Department of Genetics Date: 6/1/2003-5/31/2006 To add to knowledge of basic mechanisms that determines when cells of an embryo switch from multiplying rapidly to taking specialized forms. Goal: Understand origins of birth defects involving overgrowth or undergrowth of tissues and organs, as a step toward preventing or correcting them. $150,000 University of Pennsylvania Department of Anesthesia Huafeng Wei, MD, PhD Assistant Professor Date: 6/1/2005-5/31/2008 To compare two anesthetics used during open fetal surgery and their potential to cause brain damage (death of brain neurons) and subsequent long-term learning and cognitive disability in the neonate. Anesthesia is required for the mother and often for the fetus to perform fetal surgery. Safety is the prime concern for both mother and fetus, as well as preventing preterm birth. Goal: Reduce birth defects caused by certain anesthetics used for fetal surgery and identify safer alternatives. $262,334 University of Pittsburgh Pittsburgh Gerard L. Campbell, PhD*** Assistant Professor Department of Biological Sciences Date: 6/1/2002-5/31/2006 To elucidate genetically controlled events in formation of the limbs, involving secreted signaling molecules and their receptors on the surfaces of cells. Goal: Understanding embryonic limb development as a step toward prevention or correction of limb malformations. $178,640 University of Pittsburgh William S. Saunders, PhD*** Associate Professor Department of Biological Sciences Date: 6/1/2003-5/31/2006 To identify genes controlling steps in the process in which chromosomes pair off and then separate as reproductive cells mature, and learn what those genes do. Goal: Prevent chromosome numerical errors such as those causing Down syndrome. $225,000 University of Pittsburgh School of Medicine Nathan Bahary, MD, PhD** Assistant Professor Department of Molecular Genetics and Biochemistry Date: 6/1/2004-5/31/2007 To identify genes that help regulate normal development of the gastrointestinal (GI) system. Many common birth defects affect the GI system (such as short-gut syndrome, esophageal atresia, pyloric stenosis, and anal and biliary atresia) and their causes are poorly understood. Goal: Improve understanding of the causes of GI birth defects, some of which can greatly impact health or be fatal, as a basis for prevention and treatment. $256,668 Total **Second Year Continuation ***Third Year Continuation SEPA/Program/Grants National/2005 PA Grants $2,416,054 Pennsylvania Chapter 2006 Community Grants and Awards Below is a list of service grants active in 2006 Organization Area Served Abington Memorial Hospital Montgomery County Allegheny General Hospital Allegheny County Alpha Phi Alpha Philadelphia, Delaware, Montgomery & Chester Statewide American Academy of Pediatrics Booker T. Washington Center Erie County Central Greene School District Child, Home & Community Greene County Montgomery County Children’s Home of Pittsburgh Allegheny, Westmoreland Butler and Fayette Congreso de Latinos Unidos, Inc Drexel University (11th St. Health Serv.) DuBois Medical Center Philadelphia Ephrata Community Hospital Lancaster and Berks Epsilon Omega Zeta ChapterZeta Phi Beta Chester County Erie Home for Children and Adults Erie, Crawford, and Venango counties Family Health Council of Central PA Columbia, Montour, Snyder, Union, Mifflin, Northumberland, Juniata, Lebanon, Cumberland, Perry, and Somerset 40 Counties Central PA Geisinger Health System Foundation Hamot Medical Center Philadelphia Clearfield, Jefferson, Erie, Indiana, Clarion, McKean, Venango, Centre & Potter Erie County Hamot Medical Center Erie County Hamot Medical Center Erie and Clearfield Health Federation of Philadelphia Home Nursing Agency Community Services Home Nursing Agency Community Services Philadelphia SEPA/Program/Grants National/2005 PA Grants Blair County Centre County Funded Project Education for women on bed rest Smoking cessation education for pregnant women Teen education on STD’s, HIV/AIDS and pregnancy Increase tobacco cessation among pregnant women Smoking cessation program for Hispanic women Teen Parent program Bilingual Prenatal Education Programs Education on prematurity, birth defects, and bereavement support for families served at Children’s Home Bilingual Prenatal Substance Abuse Risk Reduction Group Prenatal Care Program Continuing education for NICU nurses Education on premature birth and perinatal loss for families Prenatal educational brochures Increase education for mothers in Stork’s Nest Program Provide preventive and doula services for at-risk moms Prenatal education materials Piloting of a Center for Prenatal Pediatrics Education on perinatal loss for families Continuing education Library for nursing staff Nursing educational programs Prenatal education for metro health clinics Transportation assistance for prenatal appointments Transportation assistance for prenatal appointments Amount $3000 $730 $597 $12,000 $500 $630 $12,000 $1,000 $25,000 $25,000 $978 $250 $426 $23,874 $1,000 $25,000 $1,000 $900 $75 $1,000 $875 $875 Organization Area Served Lancaster General Hospital Lancaster County Lancaster General Hospital Lancaster County Magee-Womens Hospital Greater Pittsburgh Magee-Womens Hospital Greater Allegheny Maternal & Child Health Consortium Maternal & Family Health Services, Inc Maternal & Family Health Services, Inc Maternity Care Coalition Chester County Montgomery County Foundation Montgomery County Health Department Mercy Behavioral Health Montgomery County Pittsburgh Mercy Health System Pottsville Hospital and Warne Clinic Pocono Medical Center Greater Pittsburgh Potter County Human Services Potter County Scranton Primary Health Care Center Society of Teachers for Family Medicine Greater Lackawanna South Central Community Action Programs Susquenita Middle School Adams County Center for Bioethics 5 counties of SEPA Urban League of Pittsburgh Allegheny County Washington Hospital West Penn Hospital Washington, Greene and Southern Allegheny Allegheny County York Hospital Community Health Center York and Adams counties Total SEPA/Program/Grants National/2005 PA Grants Lackawanna, Luzerne, Wyoming, and Wayne 10 Counties Central PA Philadelphia Montgomery County Greater Pittsburgh Schuylkill County Monroe, Pike, Warren, and Northampton Statewide Perry County Funded Project Amount Preconception education after poor birth outcome Educational materials for Stork’s Nest program Increase access to and compliance with prenatal care Continuing education library for nurses Comenzando bien program $20,000 Prenatal education for atrisk and low income women Group Prenatal Care Program Prenatal Education for Pregnant Incarcerated Women Diabetes education for pregnant women Cribs for Kids program $498 $750 $24,877 $900 $12,000 $9,980 $3,000 $6,000 $700 Tobacco cessation program for pregnant women Expanded prenatal care program Patient education for birthing center Piloting group prenatal education program and gestational diabetes education program Transportation to prenatal & genetics appointments Educational materials on prenatal care Piloting preconception education program for practitioners Prenatal education materials for pregnant women Teen health education on sexually transmitted diseases Perinatal and neonatal ethics education for RNs and MSWs Prenatal materials for Parenting and Life Skills programs Educational modules for lending library for RNs $24,961 Educational materials for child birth education classes Prenatal education materials for child birth education classes $500 $25,000 $431 $2,000 $10,000 $826 $1,000 $694 $50 $1,000 $500 $850 $750 $283,977 2005 Basil O’Connor Research Grant In 1973, the March of Dimes created the Basil O'Connor research program named for our first chairman and president to encourage some of the nation's most promising young scientist commit to careers in birth defects research. About 1500 young researchers have received the awards since then and the greater majority of them have continued in research on birth defects. Grantee Funded Project Amount Pennsylvania State University College of Medicine Timothy M. Ritty, PhD** Assistant Professor Dept. of Orthopaedics and Rehabilitation Date: 9/1/2004-1/31/2006 To investigate the role of a gene (fibrillin 2) in tendon development, and how mutations in this gene may cause tendon abnormalities and congenital contractures, whichContinuation) (Second-Year affect up to one in 3,300 births, limiting flexion of joints. Goal: Improve treatment for children with congenital contractures, including those with congenital contractural arachnodactyly, a genetic disorder that results from a mutation in this gene. $128,006 University of Pennsylvania Sallie Tazuke** Assistant Professor Department of Obstetrics and Gynocology Date: 7/1/2003- 1/31/2006 To study the role of a large family of genes in development of reproductive organs in the male and female. Goal: Understand how abnormalities in these genes may contribute to infertility, miscarriages and chromosomal birth defects and ultimately develop approaches to prevent and treat these reproductive problems. $150,000 University of Pennsylvania Tracy L. Bale, PhD** Assistant Professor of Neuroscience Department of Animal Biology School of Veterinary Medicine Date: 2/1/2004-1/31/2006 To identify genetic traits that confer high susceptibility to stress, and determine whether those traits at various levels of maternal stress in pregnancy are associated with increased risk of preterm delivery, low birth weight, birth defects, development delays, or behavioral abnormalities. Goal: Identify and treat pregnant women who are especially susceptible to stress, to reduce the risk of adverse outcomes in their babies. $150,000 University of Pennsylvania School of Medicine Children's Hospital of Philadelphia Jake A. Kushner, MD Assistant Professor Department of Pediatrics Division of Endocrinology Date: 2/1/2005-1/31/2007 To determine the role of a cell-to-cell signaling pathway (D-type cyclin/cdk) in regulating the replication and growth of pancreatic islet cells after birth. Inadequate growth of islet cells appears to contribute to type 2 (adultonset) diabetes and pregnancy-related (gestational) diabetes, both of which can contribute to pregnancy complications, including preterm delivery, and in the case of type 2 diabetes, to spina bifida, heart defects and other congenital malformations. Goal: Develop treatments to prevent type 2 and gestational. To identify genes that initiate and regulate the earliest stages of kidney development for insight into molecular mechanisms that could be used to regenerate kidney tissue in individuals with serious kidney disease. Underdeveloped or malformed kidneys occur with a number of inherited diseases including Apert, DiGeorge, Meckel, and Von Hippel-Lindau syndromes. Serious kidney disease can be fatal, in spite of long-term treatments such as dialysis and organ transplants. Goal: Regenerate kidney tissue using tissue engineering. $150,000 University of Pittsburgh School of Medicine Neil A. Hukriede, PhD Assistant Professor Dept. of Molecular Genetics & Biochemistry Date: 2/1/2006-1/31/2008 SEPA/Program/Grants National/2005 PA Grants $150,000 Grantee Carnegie Mellon University Brooke M. McCartney, PhD Department of Biological Sciences Date: 2/1/2005-1/31/2007 Funded Project Amount $150,000 To clarify functions of a gene (adenomatous polyposis coli or APC) in a cell-to-cell signaling pathway (Wnt/Wg) that takes part in many aspects of early embryonic development, and learn how abnormalities in APC may disrupt that pathway. The Wnt/Wg pathway helps guide development of the normal embryonic body plan, as well as formation of the limbs, heart and other organs, and disruptions in Wnt/Wg may lead to birth defects in a number of organ systems. Goal: Learn how APC contributes to cellular abnormalities that can lead to birth defects as well as inherited forms of colon cancer. Total $878,006 March of Dimes Current Investment in Pennsylvania Total National Research Grants $2,416,054 Total Community Service Grants & Awards $283,977 Total Basil O’Connor Research Grants $878, 006 CDC/March of Dimes Collaboration TOTAL MARCH OF DIMES GRANT DOLLARS CURRENTLY AT WORK IN PENNSYLVANIA TOTAL RESEARCH INVESTMENT ACTIVE IN 2005 IN U.S. Includes PERI, PRI, National Research grants and Basil O’Conner research grants across the country in 2005. SEPA/Program/Grants National/2005 PA Grants $9980 $3,588,017 $79.8 Million