DONATING MY BRAIN TO SCIENCE INFORMATION ABOUT BRAIN DONATION TO THE HUMAN BRAIN BANK FOR RESEARCH 1. Background The Human Brain Bank was established in 1994 to enable research to be performed on human brain tissue from people with neurological diseases. It was founded by Professor Richard Faull who was asked to undertake diagnostic studies on brains from people with Huntington’s disease. Subsequently the Human Brain Bank was expanded to include other brain diseases such as Alzheimer’s disease, Parkinson’s disease epilepsy, stroke and motor neurone disease with the enthusiastic support of various neurological disease support organisations within New Zealand. The brain bank continues to receive and utilise human brain tissue for on-going research projects aimed at finding treatments and cures for brain diseases and for understanding how the brain functions normally. 2. What does brain donation mean? Brain donation involves having your brain and related tissues removed after your death and donating them to the Brain Bank to enable studies into neurological disorders. After death the brain-removal process takes 45-90 minutes and is done at a hospital mortuary by a skilled technician. The body is then returned to the family for their own funeral arrangements. The brain tissue is processed in two main ways to ensure it is optimally preserved for future research studies. One half of the brain is usually fixed and the other half is frozen fresh. Because the brain tissue donated is of immense value for research, it is kept indefinitely in the Brain Bank. Brain tissue will not be returned to the next of kin. 3. Processing, analysis and storage of brain tissue On receipt of the brain, tissue is processed for pathological studies and for research studies. The research studies that will be performed on the donated brain tissue include: anatomical studies to understand the brain structure; pathological studies to understand any disease process that might have affected the brain; cell culturing to enable drug testing of new and existing potential drugs to be tested on human brain cells; molecular biology techniques that enable proteins, DNA and RNA to be studied; genetic studies allow the detection of genetic abnormalities or gene combinations to be understood that may contribute to a neurological condition. The genetic studies may include the manipulation of genes in cell culture to overexpress or knockout genes of interest to neurological diseases. The studies required to achieve a diagnosis (even to confirm that the brain is unaffected by a disease) may take up to a year. At the conclusion of these studies the results will be discussed with the next of kin and then a letter containing the pathology report findings will be sent to you. After the pathology findings have been returned to the next of kin, no other individual findings from the brain studies will be made available. However enquiries about our overall research findings can be made. 4. Will all donations be accepted at the time of death? Brains from people with and without neurological diseases are needed at the Brain Bank. Whilst we try to accept every offer of brain tissue there are circumstances where for technical, medical or logistical reasons we are unable to accept the donation of brain tissue. If there is a medical history of infectious disease or a rapid onset of dementia we may not be able to accept the brain donation. Also, we must receive the brain within 24 hours in order for the brain to be useful for research studies. 5. What type of studies will the brain be used for? Many different scientific techniques can be performed on a donated human brain. The most common are designed to understand how the brain is wired and what chemical are involved in making it function normally and what ones become dysfunctional in brain diseases. Also, we are able to isolate a few cells from certain parts of the brain and grow them in cell culture. The number of cells kept alive in culture is very small but they do retain some normal brain cell functions (such as the way one cell communicates with another, but the characteristics like personality and thinking are not retained) and if the donor had a neurological disease then dysfunctional characteristics of the neurons can be studied in cell culture. Furthermore new drugs for neurological diseases can be tested directly on human brain cells that were have been affected by the disease. We work with genetics experts at the Centre for Brain Research who seeking answers to how some genes cause diseases while others protect from disease. In addition, in order to study the effects of specific gene expression on human brain cells in culture, we undertake studies involving knocking genes out or expressing them at high levels in cultured human brain cells. 6. Who will use the brain tissue? Brain tissue will be used by researchers at the Centre for Brain Research to advance our understanding of the brain, what goes wrong in brain diseases and how the brain can be repaired. Although the vast majority of brain tissue is used at the Centre for Brain Research, we do work closely with carefully chosen research groups at other universities and institutes within New Zealand and overseas; in order to more rapidly advance our studies we may send brain tissue to them on a collaborative basis to perform specified studies. Also, because our aims are to develop and test treatments for brain diseases, there may be situations where, for example, a pharmaceutical company may contract us to test potential drugs for them using human brain tissue or cells. Whilst this is uncommon we will only engage in such work if there is a high likely hood of this accelerating the development of treatment options for patients with brain diseases. Any financial return to the brain bank from such research will be used to fund human brain research. 7. What will happen to brain tissue that is left over? Donated brain tissue will be stored indefinitely in the brain bank. However sometimes there is a small amount of tissue is left over after the dissection of the brain is complete. This tissue will be cremated and the ashes will be scattered at the University of Auckland memorial plot at the Mangere Lawn Cemetery. 8. Privacy and confidentiality All identifiable donor information is kept private and is stored either on a secure database or in a locked filing cabinet at the Centre for Brain Research on the 5th floor of building 503 at the Grafton campus. Only brain bank staff will have access to the name and contact details of the donor. If you decide to withdraw from offering your brain for donation you can phone, e-mail or write to us at the address below. 9. The procedures for bequeathing brains to the Brain Bank are quite straight forward. First, at some time before death it is important that the donor (if possible), complete the ‘Offer Of Brain And Other Tissues For Research’ form after reading the ‘Information About Brain Donation To The Human Brain Bank For Research’. It is important to discuss this matter with all relevant family/next-of-kin, since it is only with their approval that the bequest can be accepted. Your next-of kin will need to witness and sign the form as well. The form is attached and should be sent to the address below. Please note that at the time of death the next-of kin will need to sign a ‘Post-mortem consent form’ authorising your brain to be removed for long term preservation for research and diagnostic purposes. The Brain Bank staff will then acknowledge receipt of the form and keep the details on file. If you have any further queries on brain tissue donation, please write directly to: XXXXX XXXXXXXX XXXXXXXX XXXXXXXXX E-mail: XXXX Phone: XXXXXXX Website: XXXXXXXXX This research project has been approved by the xxxxx will be next reviewed on XX August 20XX. Reference XXX/YYY.