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Management of a twenty-first century brain bank: experience in the BrainNet Europe consortium

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Abstract

Collections of human postmortem brains gathered in brain banks have underpinned many significant developments in the understanding of central nervous system (CNS) disorders and continue to support current research. Unfortunately, the worldwide decline in postmortem examinations has had an adverse effect on research tissue procurement, particularly from control cases (non-diseased brains). Recruitment to brain donor programmes partially addresses this problem and has been successful for dementing and neurodegenerative conditions. However, the collection of brains from control subjects, particularly from younger individuals, and from CNS disorders of sudden onset, remains a problem. Brain banks need to adopt additional strategies to circumvent such shortages. The establishment of brain bank networks allows data on, and access to, control cases and unusual CNS disorders to be shared, providing a larger resource for potential users. For the brain banks themselves, inclusion in a network fosters the sharing of protocols and development of best practice and quality control. One aspect of this collective experience concerns brain bank management, excellence in which is a prerequisite not only for gaining the trust of potential donors and of society in general, but also for ensuring equitable distribution to researchers of high quality tissue samples. This review addresses the legal, ethical and governance issues, tissue quality, and health and safety aspects of brain bank management and data management in a network, as well as the needs of users, brain bank staffing, donor programs, funding issues and public relations. Recent developments in research methodology present new opportunities for researchers who use brain tissue samples, but will require brain banks to adopt more complex protocols for tissue collection, preparation and storage, with inevitable cost implications for the future.

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References

  1. Aasly J, Storsaeter O, Nilsen G, Smevik O, Rinck P (1993) Minor structural brain changes in young drug abusers. A magnetic resonance study. Acta Neurol Scand 87:210–214

    Article  PubMed  CAS  Google Scholar 

  2. Alafuzoff I, Pikkarainen M, Al-Sarraj S, Arzberger T, Bell J, Bodi I, Bogdanovic N, Budka H, Bugiani O, Ferrer I, Gelpi E, Giaccone G, Graeber MB, Hauw JJ, Kamphorst W, King A, Kopp N, Korkolopoulou P, Kovacs GG, Meyronet D, Parchi P, Patsouris E, Preusser M, Ravid R, Roggendorf W, Seilhean D, Streichenberger N, Thal DR, Kretzschmar H (2006) Interlaboratory comparison of assessments of Alzheimer disease-related lesions: a study of the BrainNet Europe Consortium. J Neuropathol Exp Neurol 65:740–757

    Article  PubMed  CAS  Google Scholar 

  3. Alafuzoff I, Winblad B (1993) How to run a brain bank: potentials and pitfalls in the use of human post-mortem brain material in research. J Neural Transm Suppl 39:235–243

    PubMed  CAS  Google Scholar 

  4. Azizi L, Garrick TM, Harper CG (2006) Brain donation for research: strong support in Australia. J Clin Neurosci 13:449–452

    Article  PubMed  CAS  Google Scholar 

  5. Barrachina M, Castano E, Ferrer I (2006) TaqMan PCR assay in the control of RNA normalization in human post-mortem brain tissue. Neurochem Int 49:276–284

    Article  PubMed  CAS  Google Scholar 

  6. Bauer K, Taub S, Parsi K (2004) Ethical issues in tissue banking for research: a brief review of existing organizational policies. Theor Med Bioeth 25:113–142

    Article  PubMed  Google Scholar 

  7. Bell JE, Ironside JW (1997) Principles and practice of high risk brain banking. [Review] [28 refs]. Neuropathol Appl Neurobiol 23:281

    Article  PubMed  CAS  Google Scholar 

  8. Buesa C, Maes T, Subirada F, Barrachina M, Ferrer I (2004) DNA chip technology in brain banks: confronting a degrading world. J Neuropathol Exp Neurol 63:1003–1014

    PubMed  CAS  Google Scholar 

  9. Burton JL, Underwood J (2007) Clinical, educational, and epidemiological value of autopsy. Lancet 369:1471–1480

    Article  PubMed  Google Scholar 

  10. Cagnin A, Brooks DJ, Kennedy AM, Gunn RN, Myers R, Turkheimer FFT, Banati RB (2001) In-vivo measurement of activated microglia in dementia. The Lancet 358:461–467

    Article  CAS  Google Scholar 

  11. Cairns NJ, Lantos PL (1996) Brain tissue banks in psychiatric and neurological research. J Clin Pathol 49:870–873

    Article  PubMed  CAS  Google Scholar 

  12. Council_of_Europe Convention for the Protection of Human Rights and Dignity of the Human Being with regard to the Application of Biology and Medicine: Convention of Human Rights and Bioscience. Oviedo, 4IV.1997

  13. Council_of_Europe Directive 98/44 EC of the European Parliament and of the Council of 6 July 1998. Council of Europe

  14. Council_of_Europe Opinion of the European Group on Ethics in Science and New Technologies to the European Commission. Ethical Aspects of Human Tissue Banking, 21 July 1998

  15. Council_of_Europe Recommendation Rec (2006)4 of the Committee of Ministers. Council of Europe

  16. Cruz-Sanchez FF, Mordini E, Ravid R (1997) Ethical aspects to be considered in brain banking. Ann Ist Super Sanita 33:477–482

    PubMed  CAS  Google Scholar 

  17. Cummings TJ, Strum JC, Yoon LW, Szymanski MH, Hulette CM (2001) Recovery and expression of messenger RNA from postmortem human brain tissue. Mod Pathol 14:1157–1161

    Article  PubMed  CAS  Google Scholar 

  18. Ferrer I, Armstrong J, Capellari S, Parchi P, Arzberger T, Bell J, Budka H, Strobel T, Giaccone G, Rossi G, Bogdanovic N, Fakai P, Schmitt A, Riederers P, Al-Sarraj S, Ravid R, Kretzschmar H (2007) Effects of formalin fixation, paraffin embedding, and time of storage on DNA preservation in brain tissue: a BrainNet Europe study. Brain Pathol

  19. Ferrer I, Santpere G, Arzberger T, Bell J, Blanco R, Boluda S, Budka H, Carmona M, Giaccone G, Krebs B, Limido L, Parchi P, Puig B, Strammiello R, Strobel T, Kretzschmar H (2007) Brain protein preservation largely depends on the postmortem storage temperature: implications for study of proteins in human neurologic diseases and management of brain banks: a BrainNet Europe study. J Neuropathol Exp Neurol 66:35–46

    PubMed  CAS  Google Scholar 

  20. Garrick T, Howell S, Terwee P, Redenbach J, Blake H, Harper C (2006) Brain donation for research: who donates and why? J Clin Neurosci 13:524–528

    Article  PubMed  CAS  Google Scholar 

  21. Ghorpade A, Bruch L, Persidsky Y, Chin B, Brown WH, Borgmann K, Persidsky R, Wu L, Holter S, Cotter R, Faraci J, Heilman D, Meyer V, Potter JF, Swindells S, Gendelman HE (2005) Development of a rapid autopsy program for studies of brain immunity. J Neuroimmunol 163:135–144

    Article  PubMed  CAS  Google Scholar 

  22. Grizzle WE, Aamodt R, Clausen K, LiVolsi V, Pretlow TG, Qualman S (1998) Providing human tissues for research: how to establish a program. Arch Pathol Lab Med 122:1065–1076

    PubMed  CAS  Google Scholar 

  23. Gsell W, Lange KW, Pfeuffer R, Heckers S, Heinsen H, Senitz D, Jellinger K, Ransmayr G, Wichart I, Vock R et al (1993) How to run a brain bank. A report from the Austro-German brain bank. J Neural Transm Suppl 39:31–70

    PubMed  CAS  Google Scholar 

  24. Head MW, Ritchie D, Smith N, McLoughlin V, Nailon W, Samad S, Masson S, Bishop M, McCardle L, Ironside JW (2004) Peripheral tissue involvement in sporadic, iatrogenic, and variant Creutzfeldt–Jakob disease: an immunohistochemical, quantitative, and biochemical study. Am J Pathol 164:143–153

    PubMed  CAS  Google Scholar 

  25. Hulette CM (2003) Brain banking in the United States. J Neuropathol Exp Neurol 62:715–722

    PubMed  Google Scholar 

  26. Jendroska K, Patt S, Janisch W, Cervos-Navarro J, Poewe W (1993) How to run a brain bank? Clinical and institutional requirements for brain banking. J Neural Transm Suppl 39:71–75

    PubMed  CAS  Google Scholar 

  27. Knoppers BM, Joly Y, Simard J, Durocher F (2006) The emergence of an ethical duty to disclose genetic research results: international perspectives. Eur J Hum Genet 14:1170–1178

    Article  PubMed  Google Scholar 

  28. Millar T, Walker R, Arango JC, Ironside JW, Harrison DJ, Blackwood D, Smith C, Bell JE (2007) Tissue and organ donation for research in forensic pathology: the MRC sudden death brain and tissue bank. BMJ (submitted)

  29. Millar T, Walker R, Arango JC, Ironside JW, Harrison DJ, MacIntyre DJ, Blackwood D, Smith C, Bell JE (2007) Tissue and organ donation for research in forensic pathology: the MRC sudden death brain and tissue bank. J Pathol 213:369–375

    Article  PubMed  CAS  Google Scholar 

  30. Morgello S, Gelman BB, Kozlowski PB, Vinters HV, Masliah E, Cornford M, Cavert W, Marra C, Grant I, Singer EJ (2001) The national NeuroAIDS tissue consortium: a new paradigm in brain banking with an emphasis on infectious disease. Neuropathol Appl Neurobiol 27:326–335

    Article  PubMed  CAS  Google Scholar 

  31. Murphy DD, Ravina B (2003) Brain banking for neurodegenerative diseases. Curr Opin Neurol 16:459–463

    Article  PubMed  Google Scholar 

  32. Nicoll JA, Wilkinson D, Holmes C, Steart P, Markham H, Weller RO (2003) Neuropathology of human Alzheimer disease after immunization with amyloid-beta peptide: a case report. Nat Med 9:448–452

    Article  PubMed  CAS  Google Scholar 

  33. O'Grady G (2003) Death of the teaching autopsy. Bmj 327:802–803

    Article  PubMed  Google Scholar 

  34. Olesen J, Baker MG, Freund T, di Luca M, Mendlewicz J, Ragan I, Westphal M (2006) Consensus document on European brain research. J Neurol Neurosurg Psychiatry 77(Suppl 1):i1–i49

    PubMed  Google Scholar 

  35. Palacin A, Cardozo A, Cardesa A, Cruz-Sanchez FF (1993) Brain banks and non nervous tissues. J Neural Transm Suppl 39:87–96

    PubMed  CAS  Google Scholar 

  36. Sarris M, Garrick TM, Sheedy D, Harper CG (2002) Banking for the future: an Australian experience in brain banking. Pathology 34:225–229

    Article  PubMed  CAS  Google Scholar 

  37. Schmitt A, Bauer M, Heinsen H, Feiden W, Falkai P, Alafuzoff I, Arzberger T, Al-Sarraj S, Bell JE, Bogdanovic N, Bruck W, Budka H, Ferrer I, Giaccone G, Kovacs GG, Meyronet D, Palkovits M, Parchi P, Patsouris E, Ravid R, Reynolds R, Riederer P, Roggendorf W, Schwalber A, Seilhean D, Kretzschmar H (2007) How a neuropsychiatric brain bank should be run: a consensus paper of Brainnet Europe II. J Neural Transm 114:527–537

    Article  PubMed  CAS  Google Scholar 

  38. Stan AD, Ghose S, Gao XM, Roberts RC, Lewis-Amezcua K, Hatanpaa KJ, Tamminga CA (2006) Human postmortem tissue: what quality markers matter? Brain Res 1123:1–11

    Article  PubMed  CAS  Google Scholar 

  39. Tourtellotte WW, Rosario IP, Conrad A, Syndulko K (1993) Human neuro-specimen banking 1961–1992. The national neurological research specimen bank (a donor program of pre- and post-mortem tissues and cerebrospinal fluid/blood; and a collection of cryopreserved human neurological specimens for neuroscientists). J Neural Transm Suppl 39:5–15

    PubMed  CAS  Google Scholar 

  40. Vonsattel JP, Del Amaya MP, Keller CE (2008) Twenty-first century brain banking. Processing brains for research: the Columbia University methods. Acta Neuropathol, doi:10.1007/s00401-007-0311-9

  41. Webster MJ (2006) Tissue preparation and banking. In: Hemby SE, Bahn S (eds) Functional genomics and proteomics in the clinical neurosciences. Elsevier, New York, pp 3–14

    Chapter  Google Scholar 

  42. Wilcock GK, Matthews SM, Macgowan SH (1997) Brain tissue banks in psychiatric and neurological research. J Clin Pathol 50:355

    Article  PubMed  CAS  Google Scholar 

  43. Will RG, Ironside JW, Zeidler M, Cousens SN, Estibeiro K, Alperovitch A, Poser S, Pocchiari M, Hofman A, Smith PG (1996) A new variant of Creutzfeldt–Jakob disease in the UK. Lancet 347:921–925

    Article  PubMed  CAS  Google Scholar 

  44. World_Medical_Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects (1964) Adopted by the 18th WMA General Assembly, Helsinki, Finland

  45. Zaccai J, Ince P, Brayne C (2006) Population-based neuropathological studies of dementia: design, methods and areas of investigation—a systematic review. BMC Neurol 6:2

    Article  PubMed  Google Scholar 

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Acknowledgments

The member brain banks in the BrainNet Europe are individually funded in a variety of ways. BNEII receives research funding from the European Community’s Sixth Framework Programme (LSHM-CT-2004-503039). This paper reflects only the authors’ views and the community is not liable for any use that may be made of the information contained herein. The generosity of research donors is gratefully acknowledged, as is the essential contribution of all the brain bank and mortuary support staff.

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Correspondence to Jeanne E. Bell.

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Bell, J.E., Alafuzoff, I., Al-Sarraj, S. et al. Management of a twenty-first century brain bank: experience in the BrainNet Europe consortium. Acta Neuropathol 115, 497–507 (2008). https://doi.org/10.1007/s00401-008-0360-8

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  • DOI: https://doi.org/10.1007/s00401-008-0360-8

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