How hyperpartisan bullying threatens democracy

Politicization of public life: Tattered American flag

USC experts fear that polarization of public life is having a chilling effect on democratic processes. (Photo/iStock)

Social Impact

How hyperpartisan bullying threatens democracy

USC experts explain why polarization erodes civility in public discourse, turning private citizens and elected officials into targets.

January 30, 2024

By Leigh Hopper

People doing jobs once considered non-controversial — public health workers, librarians, election workers, school board officers — are increasingly bullied online, threatened and swept into the vortex of partisan vitriol.

Public officials face an alarming rise in “swatting,” a dangerous practice in which SWAT teams are summoned to their homes by fake emergency calls. Online vigilantes dox private individuals and elected officials by publishing private phone numbers and home addresses on websites and social media. USC experts fear the trend is having a chilling effect on democratic processes.

“These modern realities are a major deterrent for careers in politics. Officials understandably fear exposing their spouses, children, extended families and themselves to the threats and ugliness on social media,” said Kamy Akhavan, executive director of the USC Center for the Political Future at the USC Dornsife College of Letters, Arts and Sciences. “Public officials today have the highest levels of scrutiny and the lowest levels of privacy that public officials have ever experienced. Everyone has a camera in their pocket, politics are hyperpartisan, and social media and mainstream media incentivize scandal.”

Akhavan pointed to examples of high-profile cases of harassment and assault. In October 2022, the husband of then-House Speaker Nancy Pelosi was attacked in the couple’s San Francisco home by a partisan radical, who has since been convicted and is in prison.

Last month, former U.S. Rep. Katie Hill settled her “revenge porn” case against her ex-husband. Hill resigned in 2019 after he and conservative outlets published nude photos of her online without her knowledge or consent.

Such examples underscore the risk of harassment and violence facing government and elected officials in an era of social media, viral conspiracy theories and political polarization.

“For these reasons, plus the unbelievably high cost of campaigns and the closed nature of partisan politics, fewer people want to run for public office,” Akhavan said.

Polarization of public life: Distrust in expertise

Disinformation and confusing health messages during the COVID-19 pandemic increased distrust of medical and scientific expertise. A JAMA Network Open study found that 66% of physicians reported online attacks during the COVID-19 pandemic, a jump from 23% in the months prior to the pandemic.

Orange County’s chief health officer resigned in 2020 after receiving a death threat in response to mandating face coverings. And that wasn’t the only case. From March 2020 to January 2021, there were 120 resignations, 58 retirements, 20 firings and 24 other departures among health officials in the United States, according to a study in the American Journal of Public Health.

Rita Burke, an associate professor of clinical population and public health sciences at the Keck School of Medicine of USC, recently published a related study in Frontiers in Public Health.

“For most, this was a new experience leaving them unsure of where to turn for help. As a result, there has been an exodus of public health officials from health departments significantly weakening our public health infrastructure,” Burke said.

School governance on democracy’s front line

With the pandemic, Americans began paying closer attention to school boards. These unpaid, usually nonpartisan voluntary bodies are charged with oversight of their school district policies, including key decisions about masking — or not masking — and remote education.

Since then, school boards have become one of democracy’s front lines, often serving as proxies in the country’s cultural wars. Personal threats and attacks are resulting in resignations and turnover among board members, school health officers, superintendents, librarians and teachers.

“Education and educators have been drawn into the societal debates that find citizens on both sides of major issues about our youth, their curriculum and how they should be taught. The divide impacts districts, their leaders and every teacher,” said Maria Ott, who holds the Irving R. and Virginia A. Melbo Chair in Education Administration at the USC Rossier School of Education.

“Actions such as angry protests and lack of civil discourse model behaviors that communicate lack of trust in our schools and for those who have dedicated their careers to preparing the nation’s future citizens. We need to value our right to disagree respectfully and model what we aspire to for our students and remember that our schools are the heart of our communities and our democratic society.”

Universities provide a path to solutions amid polarization of public life

It’s clear the country needs to find a way to lower the temperature in public discourse. USC experts believe the key — perhaps unsurprisingly — is education and the campus setting itself. That’s why in 2018 USC launched the Center for the Political Future with director Robert Shrum, a Democrat, and co-director Mike Murphy, a Republican. They’re longtime political strategists and friends.

The center is known for bringing together students, leaders and experts from all political parties and organizations who might normally stand on opposite sides of the room to come together and discuss political matters.

“Here at the center, we believe in respecting each other and respecting the truth,” Shrum said before he introduced the Jan. 22 debate at Bovard Auditorium among candidates hoping to win a California Senate seat.

William Tierney, a University Professor Emeritus and founding director of USC Rossier’s Pullias Center for Higher Education, said colleges and universities are “a natural space where civil conversation should occur.”

“Higher education is a key component of the democratic public sphere,” he added. “We have to find ways to have difficult dialogues where students, faculty and staff are able to puzzle through the seemingly intractable problems that confront us. If we are unable to have those conversations on our campuses, then where will they occur?”

Julie Marsh, a professor of education policy at USC Rossier and at the USC Price School of Public Policy, sums it up: “Schools are one of the few places in which individuals from different backgrounds come together and have opportunities to deeply interact and potentially recognize commonalities. Schools can prepare students to be critical consumers of information and to learn how to treat others as equal members of civil society.”

USC research spending surpasses $1 billion for the first time, federal report shows

USC research: composite of images

University

USC research spending surpasses $1 billion for the first time, federal report shows

The spending included significant investments in USC President Carol Folt’s “moonshots” in computing, health and sustainability.

January 16, 2024

By Leigh Hopper

A recent $4 million federal grant supports a center at the Keck School of Medicine of USC where researchers aim to improve health protections for children against air pollution. With a $4.5 million grant from the Defense Advanced Research Projects Agency, a USC Information Sciences Institute researcher could set new benchmarks for measuring progress in quantum computing. And more than $7 million in government grants support USC Stem Cell researchers in their efforts to find new therapies for kidney disease and Lou Gehrig’s disease.

It’s been a banner year for USC researchers. A new federal report confirms that as of June 30, 2023, USC reached a new high-water mark in annual research expenditures — $1.04 billion — with significant investments in USC President Carol Folt’s “moonshots” in computing, health affairs research and sustainability paving the way.

“This ranking recognizes the incredible work being done by USC’s game-changing researchers here and around the world,” Folt said. “Our ambitious moonshots in advanced computing, health and sustainability will continue to accelerate the growth of our research enterprise in every way imaginable.”

The latest federal Higher Education Research and Development Survey puts USC within an exclusive pack of 13 private universities whose research expenditures top $1 billion annually. Research expenditures are a nationally recognized measure of a university’s discovery and innovation enterprise.

The report shows that USC ranks first on the West Coast and fifth in the nation with $112 million in research spending in computer and information sciences in 2022. Among private universities, in research spending on social sciences — a category that includes economics, political science, public policy analysis and gerontology — USC’s $76 million trails only Harvard University.

Paul Aisen (Photo/Courtesy of Paul Aisen)
Paul Aisen was USC’s most highly funded scientist in 2022.  (Photo/Courtesy of Paul Aisen)

Other funding and research spending highlights over the past year:

  • Paul Aisen was USC’s most highly funded scientist in 2022 with $52 million from federal sources, foundations and private industry. Aisen directs USC’s Alzheimer’s Therapeutic Research Institute, the nation’s largest center for organizing Alzheimer’s clinical trials.
  • Folt’s announcement of the USC Frontiers of Computing initiative in May 2023 pledged more than $1 billion of investment into computing research and education by 2030. But even prior to that announcement, leading grant recipient Massoud Pedram of the USC Viterbi School of Engineering received $15 million from the U.S. National Science Foundation’s Expeditions in Computing program, one of only two such awards announced in 2022.
  • Feifei Qian of USC Viterbi received $3 million from NASA to create robots that move like lizards, snakes and insects.

“This milestone in research expenditures reflects USC’s ongoing rise as one of the top private research universities in the United States,” said Ishwar K. Puri, senior vice president of the USC Office of Research and Innovation.

“I’m incredibly proud of our researchers and graduate students who are winning competitive grants that fuel discoveries that make life better for people in Los Angeles and around the world,” Puri said. “The collaboration across our university and with other institutions is what drives USC’s ability to create new knowledge and innovative ideas that truly make a difference in society.”

Erin Overstreet
Erin Overstreet is the new executive director of the USC Stevens Center for Innovation. (Photo/Courtesy of the USC Stevens Center for Innovation)

USC’s research expenditures are expected to keep rising, with a boost from the USC Stevens Center for Innovation. The center recently named Erin Overstreet as its new executive director. Overstreet will oversee the university’s commercialization of USC-driven property, bridging the sectors of discovery, education and venture capital.

The National Center for Science and Engineering Statistics, within the U.S. National Science Foundation, collects information on research and development spending from over 900 institutions each year. Higher education is a key component of the U.S. research and development system, helping drive innovation as well as scientific and technological breakthroughs.

USC’s expenditures for federal fiscal year 2022 showed a 14% increase ($130 million) since Folt’s arrival in 2019.

The National Institutes of Health is USC’s most significant source of research funding ($387 million), followed by the U.S. Department of Defense ($107 million) and the National Science Foundation ($72 million). The fourth largest in 2022 was pharmaceutical company Cognition Therapeutics ($21 million), followed by the California Institute for Regenerative Medicine, the state’s stem cell research agency ($11 million).

USC research: Pushing the boundaries of computing

Folt’s announcement of the Frontiers of Computing initiative reaffirmed USC’s status as a leading computing research institution. The new report shows that, in computing and computer science research spending, USC is outranked only by the Massachusetts Institute of Technology, Johns Hopkins University, the Georgia Institute of Technology and Carnegie Mellon University.

Other USC computer scientists and researchers in adjacent fields received funding to push the boundaries of current computing technologies in 2022. For instance, Itay Hen of the USC Information Sciences Institute received $4.5 million for three years from the Defense Advanced Research Projects Agency to develop quantitative benchmarks in quantum computing to measure progress toward specific goals.

USC President Carol Folt (USC Photo)
USC’s research expenditures have increased by 14% since President Carol Folt’s arrival in 2019. (USC Photo)

“The U.S. government is interested in knowing whether and how exactly the quantum computers of the future are going to reshape technology and society as a whole,” said Hen. “Our team at ISI, together with colleagues from USC main campus as well as external partners from the academe and the industry across the United States, is developing the necessary methodology that would allow us to provide the government with the best possible answers.”

Krishna Nayak, a professor of electrical and computer engineering and biomedical engineering at USC Viterbi, received a four-year, $1.3 million grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases to develop next-generation MRI equipment. Nayak has worked on real-time magnetic resonance imaging of the human heart and vocal tract airway.

USC research funds are advancing drug development

“It’s all preclinical at the moment, but we’re getting to the stage where our leading drug candidates are getting ready to be patented. And those are going to be USC patents — the drugs are going to be invented at USC and will be owned by USC,” said Steve Kay, director of the Michelson Center for Convergent Bioscience and Provost Professor of Neurology and Biomedical Engineering and Biological Sciences at the Keck School of Medicine. “We have a program for drug discovery in colorectal cancer, and we’ve got some early-stage results that look really encouraging.”

Kay, who also co-directs the Rosalie and Harold Rae Brown Center for Cancer Drug Development at the USC Norris Comprehensive Cancer Center, attests to the power of collaborative funding for accelerating research projects into new therapies for patients. Last year, a new class of small molecule drugs moved into phase one clinical trials — a project led by Kay. The molecules are the first to target circadian clock proteins, which play a key role in the recurrence and spread of glioblastoma, a deadly brain cancer.

Justin Ichida and Zhongwei Li
Justin Ichida, left, and Zhongwei Li are recipients of NIH Director’s Awards. (Photos/Courtery of Ichida, Li)

As recipients of NIH Director’s Awards, USC Stem Cell scientists Justin Ichida ($5 million) and Zhongwei Li ($2.5 million) secured funds to pursue potential therapies for ALS (also known as Lou Gehrig’s disease) and kidney disease.

The awards, which honor exceptionally creative scientists proposing unconventional approaches, allow Ichida to pioneer an improved approach for using patient-derived cells to discover drugs that may treat amyotrophic lateral sclerosis, also known as ALS. Li will combine natural developmental cues with bioengineering to direct stem cell-like progenitor cells to begin self-assembling into a synthetic kidney.

Of USC’s work in developing Alzheimer’s treatments, Kay notes that “Aisen is at the center of this huge hub of clinical trials that are testing all of these Alzheimer’s drugs. USC is heavily involved and influential in how Alzheimer’s disease clinical trials are designed, how patients are recruited and how companies are brought in to fund these clinical trials. They’re right at the cutting edge.”

Research for a sustainable future

Reducing Southern California’s infamous air pollution through more sustainable policies, practices and technologies starts with pinpointing sources and impacts. A portfolio of awards and publications at the intersection of environment and public health are advancing Folt’s ambitions toward a sustainable future.

For example, the NIH awarded USC researchers $4 million to create a research center aimed at protecting children from near-roadway and regional air pollution released by various industries, including through the transportation of goods, urban oil and gas production, and wildfires.

The Southern California Center for Children’s Environmental Health Translational Research, led by Rob McConnell and Jill Johnston of the Department of Population and Public Health Sciences at Keck School of Medicine, examines how these threats disproportionately affect children, especially in marginalized communities and communities of color, in California and worldwide.

Pollution
USC researchers found the risk of death increases dramatically when heat and air pollution coincide. (Photo/Courtesy of the South Coast Air Quality Management District)

Public health researchers made important contributions in 2022. For example, one study described how the risk of death surges when extreme heat and air pollution coincide — a sobering finding in light of the warming climate and ongoing challenges in reducing the use of fossil fuels.

Other work detailed dangers posed by “forever chemicals” called polyfluoroalkyl substances (PFAS), which are found in fast-food wrappers, pizza boxes and waterproof fabrics, and are linked to liver cancer. The investigative team also includes engineers developing methods for PFAS decontamination because the chemicals have seeped into groundwater supplies in California and elsewhere in the nation.

“To address urgent public health problems, we look for creative, solution-oriented approaches that blend everything from data science to community-building,” said Howard Hu, professor and Flora L. Thornton Chair of the Department of Population and Public Health Sciences at Keck School of Medicine. “Our goal is to translate research into specific, actionable strategies to protect and improve human health.”

 

SCOTUS Preview: Key cases to watch and USC experts to connect with this term

The Supreme Court Justices in uniform

(Photo/Fred Schilling, Collection of the Supreme Court of the United States)

Source Alert

SCOTUS Preview: Key cases to watch and USC experts to connect with this term

January 09, 2024

The U.S. Supreme Court’s February 2024 argument session promises to tackle some of the nation’s most pressing issues, including former President Trump’s legal immunity, First Amendment protections for online speech, challenges to the EPA’s pollution control measures, and the potential future of abortion access in the United States.

USC experts are available to discuss key issues on the Supreme Court’s docket.

Contact: Nina Raffio, raffio@usc.edu or (213) 442-8464; USC Media Relations, uscnews@usc.edu or (213) 740-2215

Presidential immunity: Can Trump run in 2024?

“The Supreme Court had to step in to clarify President Trump’s eligibility to appear on the ballot under the Fourteenth Amendment’s insurrection clause. The case raises a tangle of legal issues that place the Supreme Court in a political crossfire,” said Jeb Barnes, professor of political science at the USC Dornsife College of Letters, Arts and Sciences.

“The Court has not been this central to a presidential election since it decided the 2000 election in Bush v. Gore. Back then, the Court had a deep reservoir of public support. Today, its approval ratings are lagging and its legitimacy has been questioned from the left and right. Under these circumstances, there is more than President Trump’s status as a candidate at stake in this case, the standing of the Court itself is on the docket.”

Contact: barnesj@usc.edu

###

Additional Experts

Christian Grose is an expert in American government, political institutions; political representation; the politics of the policy-making process; electoral behavior and campaigns. Grose is professor of political science and public policy at USC Dornsife and the academic director of the USC Schwarzenegger Institute for State and Global Policy at the USC Sol Price School of Public Policy.

Contact: cgrose@dornsife.usc.edu

###

Lee Epstein is an expert in law and legal institutions, especially the behavior of judges. She teaches courses on constitutional law, judicial behavior, free speech and the U.S. Supreme Court. Epstein is the university professor of law and political science; and Charles L. and Ramona I. Hilliard Distinguished Professor of Law at the USC Gould School of Law.

Contact: lepstein@law.usc.edu

###

_________________________________________________________________

Freedom of speech on social media

Image of an individual using facboook on their phone
(Photo/AdobeStock)

Do state laws regulating social media content moderation violate the First Amendment rights of users? That’s the question at the heart of two landmark cases — NetChoice LLC v. Paxton and Moody v. NetChoice LLC — that will be argued jointly before the court on Feb. 24. Experts say the outcome of the cases could set a precedent for how platforms operate and users interact online, shaping everything from political discourse to misinformation control.

Erin Miller is an expert in theories of speech and free speech rights, and especially their application to mass media. She is an assistant professor of law at USC Gould.

Contact: emiller@law.usc.edu

###

Wendy Wood is an expert in the nature of habit, including behaviors that influence the spread of misinformation on social media. She is provost professor emerita of psychology and business at USC Dornsife.

Contact: wendy.wood@usc.edu

###

Morteza Dehghani is an expert political and moral language, textual and semantic analysis and morality. He is a professor of psychology and computer science at USC Dornsife.

Contact: mdehghan@usc.edu

###

_______________________________________________________________

Federal agency power and environmental protections

The Supreme Court has signaled that it is ready to overturn Chevron deference, a decades-old legal principle that determines who decides the meaning of ambiguous laws passed by Congress — judges or the federal agency tasked with enforcing them. Experts warn this potential power shift could have major implications for environmental regulations, public health and other critical policy areas.

The Court will also consider industry challenges, submitted through its fast-track appeals process or “shadow” docket, to the EPA’s “Good Neighbor” air pollution plan. This Clean Air Act rule shields downwind states from industrial pollution drifting across state lines.

“The Biden Administration is already (or should be) working on the assumption that the EPA will get no deference from the Supreme Court on any statutory interpretation issue related to climate change,” said Robin Craig, an expert in environmental law and the Robert C. Packard Trustee chair in law at USC Gould. “This is mostly relevant to the Clean Air Act, and the Court has made it abundantly clear that it is not giving the EPA any breathing room to adjust the statute to climate change realities.”

Contact: rcraig@law.usc.edu

###

Additional Experts

Clare Pastore is an expert in public interest law who has spent her career suing agencies on behalf of civil rights plaintiffs and low-income communities, which has often included litigating cases directly related to Chevron deference. Pastore is professor of the practice of law at USC Gould.

Contact: cpastore@law.usc.edu

###

Max Aung is an expert in environmental justice and an assistant professor in the Division of Environmental Health at the Keck School of Medicine of USC. Aung recently spoke about the risks of PFAS or “forever chemicals” at a press conference where California Attorney General Rob Bonta announced the state is enforcing new requirements for companies to disclose forever chemicals.

Contact: maxaung@usc.edu

###

_____________________________________________________________

Abortion pill access

Protestors clash outside the U.S. Supreme Court building
(Photo/iStock)

For the first time since overturning Roe v. Wade and its federal protections for abortion in 2022, the justices will revisit the abortion debate through a set of new cases —  FDA v. Alliance for Hippocratic Medicine and Danco Laboratories v. Alliance for Hippocratic Medicine — which will determine whether to restrict access to mifepristone, commonly known as the abortion pill.

Aya Gruber is an expert on criminal law and procedure, violence against women and critical theory. Gruber is professor of law at USC Gould.

Contact: agruber@law.usc.edu

###

Sofia Gruskin is an expert in global health, reproductive rights, and health equity. She directs the USC Institute on Inequalities in Global Health and has joint appointments at USC Gould and the Keck School of Medicine.

Contact: gruskin@usc.edu

###

Dima Qato leads interdisciplinary research efforts focusing on equity-driven drug utilization, access to medicines, and pharmaceutical policy. Qato serves as the Hygeia Centennial chair and associate professor at the USC Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences. She is also a senior fellow at the USC Schaeffer Center for Health Policy and Economics.

Contact: qato@usc.edu

###

Brian Nguyen is an associate professor of clinical obstetrics and gynecology at the Keck School of Medicine. Nguyen is an expert in family planning, reproductive health and gender equity.

Contact: nguyenbt@usc.edu

###

_________________________________________________________________

Gun control, domestic violence and the Second Amendment

The U.S. Supreme Court is poised to issue rulings in several cases with potential impacts on gun control, free speech and firearm technology. In USA v. Rahimi, the Court will consider whether a federal law prohibiting gun ownership for individuals subject to domestic violence restraining orders violates the Second Amendment right to bear arms.

Other cases incude NRA v. Vullo, which will define the boundaries of free speech for state employees and its implications for how they discuss sensitive topics like gun control in their professional capacities, and Garland v. Cargill, which will determine the legal status of bump stocks.

“Firearms are used in over half the intimate partner deaths in America. Homicide is the leading cause of death of women who are pregnant and post-partum. One in three women will experience intimate partner violence over their lifetimes. This is a life-threatening, chronic existence for many women in this country,” said Annalisa Enrile, a teaching professor and expert in violence against women, gender equity and global justice at the USC School of Social Work. “We have to start taking intimate partner violence more seriously. This is not just about upholding policies to limiting access to firearms in domestic violence cases.”

Contact: enrile@usc.edu

###

Additional Experts

Gregory Keating is an expert in torts, legal ethics, and the law of negligence as it relates to risks of death and devastating injury. Keating is the William T. Dalessi professor of law and philosophy at USC Gould.

Contact: gkeating@law.usc.edu

###

Adam Zimmerman is an expert in mass tort law whose scholarship explores how class action attorneys, regulatory agencies and criminal prosecutors provide justice to large groups of people. Zimmerman is a professor of law at USC Gould.

Contact: azimmerman@law.usc.edu

###

Genetic mutation protects against Parkinson’s disease offers hope for new therapies

News Releases

Genetic mutation protects against Parkinson’s disease offers hope for new therapies

January 09, 2024

Mitochondria seen through a microscope
Photo: iStock

Newly discovered variant is a mitochondrial microprotein that could be key to developing future pharmaceutical interventions

Contact: Leigh Hopper at lhopper@usc.edu or Orli Belman at obelman@usc.edu

A previously unidentified genetic mutation in a small protein provides significant protection against Parkinson’s disease and offers a new direction for exploring potential treatments, according to a new USC Leonard Davis School of Gerontology study.

The variant, located in a mitochondrial microprotein dubbed SHLP2, was found to be highly protective against Parkinson’s disease; individuals with this mutation are half as likely to develop the disease as those who do not carry it. The variant form of the protein is relatively rare and is found primarily in people of European descent.

The findings appear this month in the journal Molecular Psychiatry.

First discovered by Pinchas Cohen at the USC Leonard Davis School in 2016, SHLP2 is made within the cell’s mitochondria. Previous research from the Cohen Lab established that SHLP2 is associated with protection from aging-related diseases including cancer and that levels of the microprotein change in patients with Parkinson’s disease; they rise as the body attempts to counteract the pathology of Parkinson’s disease but often fail to mount additional production as the disease progresses.

This latest finding builds upon the USC team’s prior mitochondrial research and represents an advance at the intersection of longevity science, precision health and microprotein discovery.

“This study advances our understanding of why people might get Parkinson’s and how we might develop new therapies for this devastating disease,” said Cohen, professor of gerontology, medicine and biological sciences and senior author of the study. “Also, because most research is done on well-established protein-coding genes in the nucleus, it underscores the relevance of exploring mitochondrial-derived microproteins as a new approach to the prevention and treatment of diseases of aging.”

For this study, first author Su-Jeong Kim, an adjunct research assistant professor of gerontology at the USC Leonard Davis School, led a series of experiments that leveraged the Cohen Lab-developed microprotein discovery pipeline that begins with a big data-driven analysis to identify variants involved in disease.

Thousands of human study subjects from the Health & Retirement Study, Cardiovascular Health Study, and Framingham Heart Study were screened for the SHLP2 variant. By comparing genetic variants in the mitochondrial DNA in patients with Parkinson’s disease and in controls, researchers found a highly protective variant found in 1% of Europeans, that reduced risk of Parkinson’s disease by twofold, to 50% of average.

Next, they demonstrated that this naturally occurring variant results in a change to the amino acid sequence and protein structure of SHLP2. The mutation – a single nucleotide polymorphism (SNP), or a change to a single letter of the protein’s genetic code – is essentially a “gain-of-function” variant that is associated with higher expression of SHLP2 and also makes the microprotein more stable. According to their findings, the SHLP2 variant has high stability compared to the more common type and provides enhanced protection against mitochondrial dysfunction.

The research team was able to use targeted mass spectrometry techniques to identify the tiny peptide’s presence in neurons and found that SHLP2 specifically binds to an enzyme in mitochondria called mitochondrial complex 1. This enzyme is essential for life, and declines in its function have been linked not only to Parkinson’s disease but also to strokes and heart attacks.

The increased stability of the SHLP2 variant means that the microprotein binds to mitochondrial complex 1 more stably, prevents the decline of the enzyme’s activity, and thus reduces mitochondrial dysfunction. The benefits of the mutant form of SHLP2 were observed in both in vitro experiments in human tissue samples as well as in mouse models of Parkinson’s disease, according to the study.

“Our data highlights the biological effects of a particular gene variant and the potential molecular mechanisms by which this mutation may reduce the risk for Parkinson’s disease,” said Kim. “These findings may guide the development of therapies and provide a roadmap for understanding other mutations found in mitochondrial microproteins.”

About this study

Coauthors included Brendan Miller, Nicolas G. Hartel, Ricardo Ramirez II, Regina Gonzalez Braniff, Naphada Leelaprachakul, Amy Huang, Yuzhu Wang, Thalida Em Arpawong, Eileen M. Crimmins, Kelvin Yen, Giselle M. Petzinger, Michael W. Jakowec, and Nicholas A. Graham of USC; Penglong Wang and Chunyu Liu of the National Heart, Lung, and Blood Institute, National Institutes of Health; and Xianbang Sun and Daniel Levy of Boston University.

This work was supported by Department of Defense grant W81XWH2110625 to Kim and by NIH grants P01AG034906, R01AG068405 and P30AG068345 to Cohen. Pinchas Cohen is a consultant of CohBar Inc.

###

 

USC’s Paul Aisen, pioneering Alzheimer’s researcher, honored with Epstein Alzheimer’s Disease Director’s Chair

University

USC’s Paul Aisen, pioneering Alzheimer’s researcher, honored with Epstein Alzheimer’s Disease Director’s Chair

An international leader in Alzheimer’s disease research for over 30 years, Aisen is recognized with the highest academic honor at the Keck School of Medicine of USC.

June 09, 2023

Michael Price, Leigh Hopper

Paul Aisen, the founding director of USC’s Alzheimer’s Therapeutic Research Institute and a professor of neurology at the Keck School of Medicine of USC, was honored Friday as the inaugural recipient of the Epstein Alzheimer’s Disease Director’s Chair.

Aisen’s receipt of the honor — the highest academic honor at the Keck School — was the capstone moment of an extraordinary effort by USC Trustee Daniel J. Epstein and his family to accelerate the search for Alzheimer’s treatment and a cure. Colleagues, university leaders, family and friends crowded the San Diego event to share their appreciation for Aisen’s work in pushing the limits of what is known about the disease.

Defeating this disease is really one of the most daunting moonshots in medicine today.

Carol L. Folt, USC president

“Defeating this disease is really one of the most daunting moonshots in medicine today,” said USC President Carol L. Folt, characterizing Aisen and Epstein as ambitious problem-solvers dedicated to making a difference in the health and well-being of others. “But [Epstein’s] optimism and dedication have always enabled the best to do cutting-edge research, and this record of success continues with this new chair and with the work that all of you do.”

Aisen echoed Folt’s recognition of the role of teamwork: “Everybody in this room has a common mission of accelerating the development of effective treatments. What allows us to accomplish what we’ve accomplished is having everybody here together in an academic environment, supported by a fabulous university, working on innovation, collaboration, data sharing and moving the field forward.”

An unusual gift

Galvanized by a family loss — Epstein’s twin brother lived for 15 years with Alzheimer’s disease — the Epstein Family Foundation announced a $50 million joint gift to USC and the University of California, San Diego, in January 2022. The family made the unusual stipulation that the donation, split evenly, foster collaboration between the two institutions.

The family also established the USC Epstein Breakthrough Alzheimer’s Research Fund, which funds innovative, interdisciplinary research projects across USC that advance the development of new therapies and preventive measures for Alzheimer’s disease.

Our family’s support for Alzheimer’s research is intended to inspire others and generate real impact.

Daniel J. Epstein, USC trustee

“Our family’s support for Alzheimer’s research is intended to inspire others and generate real impact,” Epstein said. “We hope our commitments resonate with those who have the means to contribute to the cause — we urge them to look at their resources and say, ‘I want to help, too.’ Funding can accelerate promising research. Above all, it can shorten the time until we see more effective treatments and therapeutics, which we’re on the verge of, right now.”

Epstein, who earned his bachelor’s degree in engineering from the USC Viterbi School of Engineering in 1962, has served as a USC trustee for two decades. He is the founder of the San Diego-based ConAm group of companies. A longtime champion of USC initiatives, he traces his success to his USC education.

In 2021, Epstein and his wife, Phyllis, contributed $14 million to his namesake department at USC Viterbi in industrial and systems engineering. The gift was part of $25 million in total support that he has contributed to advance industrial and systems engineering research, teaching and learning.

Linked by loss

Like the Epsteins, Aisen has a personal tie to Alzheimer’s: His maternal grandmother died from the disease.

His clinical interest in the disease goes back to his time at Mount Sinai Medical Center in New York, where he served as chief medical resident. It was there, in the late 1980s, that some of the first attempts at treating memory loss took place.

In 1999, Aisen founded the Memory Disorders Program at Georgetown University, a clinical and research program for Alzheimer’s disease and related disorders. After many years of basic research studies, he became founding director of USC’s Alzheimer’s Therapeutic Research Institute in 2015. His work deepened scientific understanding of the crucial early years before symptoms manifest, which could offer an important window for potential treatments.

Under Aisen’s leadership, ATRI organizes and conducts rigorous trials investigating potential treatment avenues for Alzheimer’s disease — supported by millions of dollars in federal funding as well as contracts with private industry. On Friday, an FDA advisory panel unanimously endorsed the clinical benefits of the Alzheimer’s drug lecanemab, moving it forward for consideration for full FDA approval. ATRI played a pivotal role in advancing the treatment, with Aisen as the senior investigator for the clinical trial.

At least 6 million people in the United States are living with this debilitating and ultimately fatal brain disorder, and the situation is likely to worsen. As the U.S. population ages, the number of Americans suffering from Alzheimer’s could reach 14 million by 2060, according to the Centers for Disease Control and Prevention.

Aisen’s efforts unite Alzheimer’s researchers across the country. ATRI oversees the Alzheimer’s Clinical Trials Consortium, which centralizes resources and facilitates the sharing of expertise to accelerate the development of effective interventions.

Aisen and his team also are key partners in running a comprehensive training program (IMPACT-AD) to educate and diversify the next generations of clinical trial professionals.

Folt noted that Aisen’s favorite hobby is astrophotography — taking pictures of the night sky or objects in space.

“It’s really the perfect hobby: The glimmer of stars are much like the pulsing neurons of the human brain,” Folt said. “And I know you have made it your life’s work to assure that these constellations of light that power our emotions and thoughts never dim with the onset of Alzheimer’s.”

The post USC’s Paul Aisen, pioneering Alzheimer’s researcher, honored with Epstein Alzheimer’s Disease Director’s Chair appeared first on USC Today.

USC’s Paul Aisen, pioneering Alzheimer’s researcher, honored with Epstein Alzheimer’s Disease Director’s Chair

USC Trustee Daniel J. Epstein, left, USC President Carol L. Folt and Paul Aisen celebrate as Aisen is named the inaugural holder of the Epstein Alzheimer’s Disease Director’s Chair.

USC’s Alzheimer’s Therapeutic Research Institute (ATRI) in San Diego hosted the chair installation ceremony, which recognized and honored Aisen’s decades of work leading teams toward more effective treatments for Alzheimer’s disease.

The Director’s Chair was endowed by the Epstein Family Foundation as another generous gift in a series of significant donations catalyzing Alzheimer’s research in Southern California.

The post USC’s Paul Aisen, pioneering Alzheimer’s researcher, honored with Epstein Alzheimer’s Disease Director’s Chair appeared first on USC News.

The Perfect Stitch

Science/Technology

The Perfect Stitch

Together, computer scientists and clinicians are designing AI solutions to improve surgical training and create better patient outcomes.

February 28, 2023

Caitlin Dawson

When Professor Yan Liu was growing up in Changchun, China, her father wanted her to become a doctor like him. When she chose computer science, “I was a tiny bit disappointed,” Xiwen Liu, a retired anesthesiologist, acknowledges.

But their worlds collided in 2011, when the elder Liu was diagnosed with prostate cancer. It was a surprise. At 67, he was relatively young, had a healthy lifestyle and had no symptoms. Like many of the 1.2 million men diagnosed with prostate cancer each year, he had surgery to remove tumors in his prostate, but he suffered from incontinence, bleeding and infections for years after the surgery.

Nearly 6,000 miles away, at the USC Viterbi School of Engineering, Yan Liu felt helpless.

Even with access to the best doctors and hospitals, he experienced pain, slow recovery and long-term side effects.

Yan Liu

“The complications involved with prostate cancer surgery brought my dad significant personal challenges,” says Liu, a professor of computer science, electrical and computer engineering and biomedical sciences. “Even with access to the best doctors and hospitals, he experienced pain, slow recovery and long-term side effects.”

Liu resolved to use her skills to help others like her father. Working on research at the intersection of artificial intelligence and health care for more than a decade, she teamed up in 2016 with Dr. Andrew Hung, a urologist at Keck Medicine of USC, to create AI tools that measure and help improve surgeons’ technical skills during the radical prostatectomy procedure — the removal of the entire prostate gland.

By harnessing deep learning algorithms, their system learns from past movements to identify specific areas where a surgeon can improve during a robotic surgery. Together, Hung and Liu have since published more than 17 peer-reviewed papers in this field and recently received a $3 million award from the National Institutes of Health to advance their research.

They are working on developing an AI-based system to deliver real-time feedback during a procedure and even alert surgeons if they are at risk of erring. Their aim? To shorten the learning curve for surgeons, maximize patient safety and reduce postoperative complications.

“AI comes into play to assess the skill of the surgeon — to see what parts of the operation they are good at, and what needs to be improved,” says Liu, director of the USC Melady Lab, which focuses on machine learning with real-world applications. “It also comes into play during the simulation and learning stage for training new surgeons.

“Ultimately, what we want to do is provide real-time assistance to surgeons as they operate,” she says.

The Learning Curve

Removing the prostate gland through surgery is an option for men whose cancer has not spread. Today, robotically assisted radical prostatectomy constitutes about 85% of the 90,000 such operations performed every year in the United States.

Robotically assisted radical prostatectomy constitutes about 85% of the 90,000 such operations performed every year in the United States.

To operate using a robotic system, the surgeon makes tiny incisions and manipulates miniaturized instruments from a nearby console, making detailed work less invasive. As with any surgery, however, risk is involved: The surgeon must avoid damaging adjacent tissues and organs. Despite advances in medical technology, up to 40% of patients experience incontinence after the procedure.

Decades of research suggests that some hospitals and surgeons have significantly better outcomes than others. Indeed, the procedure has a steep learning curve: Studies say surgeons must perform about 100 radical prostatectomies to start reaching optimal outcomes. Yet surgeons often do not get a good sense of how they are performing.

“As surgeons in the operating room, we don’t get much immediate feedback in terms of the things we do,” says Hung, a leader in innovative surgical simulation technology and the director of the Center for Robotic Simulation and Education at Keck School of Medicine of USC. “Short of a major complication, some of the outcomes after prostate surgery are not apparent until weeks, months or years later.”

While surgical performance assessment is a critical need, it’s not always available, Hung says. “It’s simply not scalable to have a perfect surgeon evaluator look at every surgeon’s operation and give feedback.”

How AI Can Help

During robotic surgery, every snip, clamp and stitch generates massive amounts video data and kinematic data tracing the surgeon’s movements. AI can analyze this data to give surgeons feedback on instrument moving speed, distances traveled and wrist angulations during the robotic surgery. Using data and expertise from Hung and his group, Liu and her team have developed algorithms that teach the computer to learn as it is fed thousands of these data points.

Liu’s team uses this data to train the classifier to “understand what it sees,” she said. Once training is complete, deep learning models can provide objective evaluations based on learned representations of ideal versus non-ideal technical skills. To test the accuracy of the system, the machine’s ratings are compared with the surgeons’ ratings of the same surgeries.

“Based on this, we can predict whether the patient will have complications after the surgery and the expertise of each participant,” Liu says.

Using the raw data, Liu and her team determined that machine learning algorithms could predict each participant’s level of expertise with 87% accuracy. Eventually, she hopes the system will alert surgeons to potential problems, such as risk of injury to vital organs that could result in long-term complications.

“When we move toward the grand challenge goal of AI-assisted surgery, then we need to look at specific segments of the operation,” Liu says. “Then we can use this information to predict, based on the current stage of the operation, if there will be any risk factors for the next step so we can provide a timely warning.”

‘A Needle in a Haystack’

The process has allowed the researchers to identify the parts of the operation that seem most closely tied to outcomes. “It’s like a needle in a haystack,” Hung says. “How can you find the one needle that drives the outcomes, and what do you focus on in a procedure that’s between two and four hours long? AI brings objectivity and also scalability.”

AI brings objectivity and also scalability.

Andrew Hung

In a recent study focused on predicting urinary control outcomes, researchers found that algorithms home in on a critical step in the radical prostatectomy: when the clinician must suture a gap between the bladder and the urethra after the prostate is removed.

Done properly, this step prevents internal leakage of urine during and after the procedure. If it is incorrectly done, the patient can suffer such complications as incontinence and damage to the bladder.

Using AI, researchers found almost all the metrics that predict continence recovery were related to suturing, possibly because, Hung says, “measuring surgeon performance is nicely captured by the suturing task, and it lends itself well to evaluation.”

But while machine learning can help find the needle in the haystack, it doesn’t offer explanations — that’s still in the hands of the human experts.

Robots in the OR

When Hung and Liu started working together, they were looking at metrics that summarized an entire operation. Now they can analyze performance at the level of individual stitches, narrowing the focus to different levels of suturing. This would allow the system to give surgeons specific, actionable feedback. Their recent research results showed a 20% to 30% improvement in assessing surgical skills when using AI-assisted assessment compared with human graders.

Research results showed a 20% to 30% improvement in assessing surgical skills when using AI-assisted assessment compared with human graders.

“When you’re measuring technical skills and you provide that kind of feedback, it’s actually meaningful to surgeons,” Hung says. “As opposed to telling a surgeon, ‘You’re just not moving your hands fast enough,’ you’re actually telling them, ‘The way you’re holding the needles in this specific suture is incorrect.’”

The research is at the investigational stage, meaning the systems are not yet used in any high-stakes evaluations. But how do surgeons feel about a future of AI-assisted robots in the operating room?

“When I present this idea to my peers, I definitely get folks in both camps: those who embrace the idea and those who feel threatened,” Hung says. “In some cases, surgeons can be resistant to the concept at first. No one really likes being evaluated, least of all by a machine. But once they see the opportunity for evolving their skills and helping their patients, they become curious and open up to the idea.”

Although their exploration in understanding the “perfect stitch” has focused on urology, it could also be applied to other procedures, including hysterectomies and hernia repairs.

“We want to find out how surgeons can evolve more quickly,” says Hung. “[Improving] how we teach and train surgeons to do surgery will not cure disease magically, but it can certainly enhance how we anticipate patient outcomes and take better care of our patients.”

The final step is to prove that such feedback can improve outcomes and use it to train new surgeons. “Our goal is to use AI to help surgeons by detecting potential issues and [offering] warnings and possible suggestions in terms of what type of action the surgeon should take,” Liu says.

For Liu, the team’s progress brings hope that they can improve the lives of people like her father and the approximately 644,000 people who undergo some robotic surgery each year in the United States alone.

“In terms of translating AI into practice, I think this project has one of the shortest runways,” Liu says. “A very realistic goal that could happen in the next five to 10 years is this AI-assisted robotic surgery, which could improve post-surgery outcomes and recovery.”

As a patient, father and former clinician, Xiwen Liu welcomes that news.

“On nights when a patient would pass away during a surgery, I felt awful, always asking the what-if questions,” he says. “Improving health delivery means [everything] to patients, but it could even improve doctors’ psychological health, as well.

“Somehow, after all these years, our paths of medicine and computer science have crossed. Maybe [my daughter] found the best way to help people and save lives after all.”

The post The Perfect Stitch appeared first on USC Today.

The Perfect Stitch

When Professor Yan Liu was growing up in Changchun, China, her father wanted her to become a doctor like him. When she chose computer science, “I was a tiny bit disappointed,” Xiwen Liu, a retired anesthesiologist, acknowledges.

But their worlds collided in the 2011, when the elder Liu was diagnosed with prostate cancer. It was a surprise. At 67, he was relatively young, had a healthy lifestyle and had no symptoms. Like many of the 1.2 million men diagnosed with prostate cancer each year, he had surgery to remove tumors in his prostate, but he suffered from incontinence, bleeding and infections for years after the surgery.

Nearly 6,000 miles away, at the USC Viterbi School of Engineering, Yan Liu felt helpless.

Even with access to the best doctors and hospitals, he experienced pain, slow recovery and long-term side effects.

Yan Liu

“The complications involved with prostate cancer surgery brought my dad significant personal challenges,” says Liu, a professor of computer science, electrical and computer engineering and biomedical sciences. “Even with access to the best doctors and hospitals, he experienced pain, slow recovery and long-term side effects.”

Liu resolved to use her skills to help others like her father. Working on research at the intersection of artificial intelligence and health care for more than a decade, she teamed up in 2016 with Dr. Andrew Hung, a urologist at Keck Medicine of USC, to create AI tools that measure and help improve surgeons’ technical skills during the radical prostatectomy procedure — the removal of the entire prostate gland.

By harnessing deep learning algorithms, their system learns from past movements to identify specific areas where a surgeon can improve during a robotic surgery. Together, Hung and Liu have since published more than 17 peer-reviewed papers in this field and recently received a $3 million award from the National Institutes of Health to advance their research.

They are working on developing an AI-based system to deliver real-time feedback during a procedure and even alert surgeons if they are at risk of erring. Their aim? To shorten the learning curve for surgeons, maximize patient safety and reduce postoperative complications.

“AI comes into play to assess the skill of the surgeon — to see what parts of the operation they are good at, and what needs to be improved,” says Liu, director of the USC Melady Lab, which focuses on machine learning with real-world applications. “It also comes into play during the simulation and learning stage for training new surgeons.

“Ultimately, what we want to do is provide real-time assistance to surgeons as they operate,” she says.

The Learning Curve

Removing the prostate gland through surgery is an option for men whose cancer has not spread. Today, robotically assisted radical prostatectomy constitutes about 85% of the 90,000 such operations performed every year in the United States.

Robotically assisted radical prostatectomy constitutes about 85% of the 90,000 such operations performed every year in the United States.

To operate using a robotic system, the surgeon makes tiny incisions and manipulates miniaturized instruments from a nearby console, making detailed work less invasive. As with any surgery, however, risk is involved: The surgeon must avoid damaging adjacent tissues and organs. Despite advances in medical technology, up to 40% of patients experience incontinence after the procedure.

Decades of research suggests that some hospitals and surgeons have significantly better outcomes than others. Indeed, the procedure has a steep learning curve: Studies say surgeons must perform about 100 radical prostatectomies to start reaching optimal outcomes. Yet surgeons often do not get a good sense of how they are performing.

“As surgeons in the operating room, we don’t get much immediate feedback in terms of the things we do,” says Hung, a leader in innovative surgical simulation technology and the director of the Center for Robotic Simulation and Education at Keck School of Medicine of USC. “Short of a major complication, some of the outcomes after prostate surgery are not apparent until weeks, months or years later.”

While surgical performance assessment is a critical need, it’s not always available, Hung says. “It’s simply not scalable to have a perfect surgeon evaluator look at every surgeon’s operation and give feedback.”

How AI Can Help

During robotic surgery, every snip, clamp and stitch generates massive amounts video data and kinematic data tracing the surgeon’s movements. AI can analyze this data to give surgeons feedback on instrument moving speed, distances traveled and wrist angulations during the robotic surgery. Using data and expertise from Hung and his group, Liu and her team have developed algorithms that teach the computer to learn as it is fed thousands of these data points.

Liu’s team uses this data to train the classifier to “understand what it sees,” she said. Once training is complete, deep learning models can provide objective evaluations based on learned representations of ideal versus non-ideal technical skills. To test the accuracy of the system, the machine’s ratings are compared with the surgeons’ ratings of the same surgeries.

“Based on this, we can predict whether the patient will have complications after the surgery and the expertise of each participant,” Liu says.

Using the raw data, Liu and her team determined that machine learning algorithms could predict each participant’s level of expertise with 87% accuracy. Eventually, she hopes the system will alert surgeons to potential problems, such as risk of injury to vital organs that could result in long-term complications.

“When we move toward the grand challenge goal of AI-assisted surgery, then we need to look at specific segments of the operation,” Liu says. “Then we can use this information to predict, based on the current stage of the operation, if there will be any risk factors for the next step so we can provide a timely warning.”

‘A Needle in a Haystack’

The process has allowed the researchers to identify the parts of the operation that seem most closely tied to outcomes. “It’s like a needle in a haystack,” Hung says. “How can you find the one needle that drives the outcomes, and what do you focus on in a procedure that’s between two and four hours long? AI brings objectivity and also scalability.”

AI brings objectivity and also scalability.

Andrew Hung

In a recent study focused on predicting urinary control outcomes, researchers found that algorithms home in on a critical step in the radical prostatectomy: when the clinician must suture a gap between the bladder and the urethra after the prostate is removed.

Done properly, this step prevents internal leakage of urine during and after the procedure. If it is incorrectly done, the patient can suffer such complications as incontinence and damage to the bladder.

Using AI, researchers found almost all the metrics that predict continence recovery were related to suturing, possibly because, Hung says, “measuring surgeon performance is nicely captured by the suturing task, and it lends itself well to evaluation.”

But while machine learning can help find the needle in the haystack, it doesn’t offer explanations — that’s still in the hands of the human experts.

Robots in the OR

When Hung and Liu started working together, they were looking at metrics that summarized an entire operation. Now they can analyze performance at the level of individual stitches, narrowing the focus to different levels of suturing. This would allow the system to give surgeons specific, actionable feedback. Their recent research results showed a 20% to 30% improvement in assessing surgical skills when using AI-assisted assessment compared with human graders.

Research results showed a 20% to 30% improvement in assessing surgical skills when using AI-assisted assessment compared with human graders.

“When you’re measuring technical skills and you provide that kind of feedback, it’s actually meaningful to surgeons,” Hung says. “As opposed to telling a surgeon, ‘You’re just not moving your hands fast enough,’ you’re actually telling them, ‘The way you’re holding the needles in this specific suture is incorrect.'”

The research is at the investigational stage, meaning the systems are not yet used in any high-stakes evaluations. But how do surgeons feel about a future of AI-assisted robots in the operating room?

“When I present this idea to my peers, I definitely get folks in both camps: those who embrace the idea and those who feel threatened,” Hung says. “In some cases, surgeons can be resistant to the concept at first. No one really likes being evaluated, least of all by a machine. But once they see the opportunity for evolving their skills and helping their patients, they become curious and open up to the idea.”

Although their exploration in understanding the “perfect stitch” has focused on urology, it could also be applied to other procedures, including hysterectomies and hernia repairs.

“We want to find out how surgeons can evolve more quickly,” says Hung. “[Improving] how we teach and train surgeons to do surgery will not cure disease magically, but it can certainly enhance how we anticipate patient outcomes and take better care of our patients.”

The final step is to prove that such feedback can improve outcomes and use it to train new surgeons. “Our goal is to use AI to help surgeons by detecting potential issues and [offering] warnings and possible suggestions in terms of what type of action the surgeon should take,” Liu says.

For Liu, the team’s progress brings hope that they can improve the lives of people like her father and the approximately 644,000 people who undergo some robotic surgery each year in the United States alone.

“In terms of translating AI into practice, I think this project has one of the shortest runways,” Liu says. “A very realistic goal that could happen in the next five to 10 years is this AI-assisted robotic surgery, which could improve post-surgery outcomes and recovery.”

As a patient, father and former clinician, Xiwen Liu welcomes that news.

“On nights when a patient would pass away during a surgery, I felt awful, always asking the what-if questions,” he says. “Improving health delivery means [everything] to patients, but it could even improve doctors’ psychological health, as well.

“Somehow, after all these years, our paths of medicine and computer science have crossed. Maybe [my daughter] found the best way to help people and save lives after all.”

The post The Perfect Stitch appeared first on USC News.