Neurone

Central service project in KFO 5001

The NPZ project aims to enhance clinical pain research through a combination of high-level training and advanced methodological platforms. The goals are to qualify (Advanced) Clinician and Medical Scientists to become future principal investigators and to expand core platforms for imaging, skin analysis, and blood biomarker research.

Findings from the first funding period

During the previous funding period (FP1), the PZ established a qualification program for Clinician Scientists, developed advanced human dorsal root ganglion (DRG) magnetic resonance imaging techniques (MRI - structural and functional imaging), and built platforms for skin and blood biomarker analysis. The studies provided insights into neuropathic pain conditions like CRPS, chronic postsurgical surgical pain (CPSP following inguinal hernia repair), Bortezomib-induced peripheral neuropathy (BIPN), and neuropathic Pain induced by anti-Caspr2 autoantibodies, confirming DRG pathologies and defining biomarker profiles in skin biopsies and in the blood associated with pain persistence and resolution. 

Research Objective

  • Education: Advance the training program for Advanced Clinician and Medical Scientists.
  • Clinical Studies: Extend longitudinal studies on CRPS and CPSP to validate established and define novel predictors of pain resolution as a basis for future interventional trials.
  • Imaging: Longitudinal DRG imaging in CRPS and CPSP patients using functional MRI (fMRI).
  • Skin and Blood Analysis: Apply established analysis methods on the patient cohorts and introduce novel analytical techniques (including spatial transcriptomics, spectral flow cytometry and proteomics).

Significance

This project integrates advanced imaging, molecular profiling, and clinical research to deepen the understanding of pain mechanisms across different conditions. By strengthening training pathways and refining methodological platforms, the NPZ aims to advance the field of translational pain research and foster innovation. The project's findings may pave the way for personalized treatment strategies and innovative interventional studies, with the long-term goal of improving outcomes for patients suffering from chronic pain.

Research team NPZ

Head

Prof. Dr. Alexander Brack, MD
Deputy Director of the Department of Anesthesiology, Intensive Care, Emergency and Pain Medicine
University Hospital Würzburg

Univ.-Prof. Dr. Mirko Pham, MD
Director of the Institute of Neuroradiology
University Hospital Würzburg

Univ.-Prof. Dr. Nicolas Schlegel, MD
Chair of Experimental Visceral Surgery
University Hospital Würzburg

Members of the team

Carolin Dorsch
PhD Student Anesthesiology

Florine Feurer
PhD Student Anesthesiology

Dr. rer. nat. Julia Grüner
PhD Neurology

Dr. Florian Hessenauer, MD
Clinician Scientist Neuroradiology

Eva Herrmann
PhD Student Anesthesiology

Yuying Jin
PhD Student Neurology

Eda Kutluyuva
Master Student

PD Dr. Michael Meir, PhD
Working group Prof. Dr. Schlegel, MD

Dr. Aikaterini Papagianni, MD
Working group Prof. Dr. Claudia Sommer, MD, Neurology

Dr. Eva Rampeltshammer, MD
Clinician Scientist Neurosurgery

Dr. Ann-Kristin Reinhold, MD
Clinician Scientist Anesthesiology

Dr. Magnus Schindehütte, MD
Clinician Scientist Neuroradiology

Dr. Simon Weiner, MD
Clinician Scientist Neuroradiology

Jonathan Weippert
PhD Student Anesthesiology

Dr. Anna Widder, MD
Clinician Scientist Surgery

Dr. Xiang Zhou, MD
Clinician Scientist Internal Medicine II

Larissa Bischof
PhD Student Anesthesiology

Selected publications

Dietz C, Müller M, Reinhold AK, Karch L, Schwab B, Forer L, Vlckova E, Brede EM, Jakubietz R, Üçeyler N, Meffert R, Bednarik J, Kress M, Sommer C, Dimova V, Birklein F, Rittner HL (2019)
What is normal trauma healing and what is complex regional pain syndrome I? An analysis of clinical and experimental biomarkers.
Pain. 2019 Oct;160 (10): 2278-2289
Go to publication 

Egenolf N, Zu Altenschildesche CM, Kreß L, Eggermann K, Namer B, Gross F, Klitsch A, Malzacher T, Kampik D, Malik RA, Kurth I, Sommer C, Üçeyler N (2021)
Diagnosing small fiber neuropathy in clinical practice: a deep phenotyping study.
Ther Adv Neurol Disord. 2021 Mar 23;14:17562864211004318.
Go to publication 

Contact

Portraitfoto von Prof. Dr. med. Alexander Brack

Prof. Dr.
Alexander Brack, MD

PI Project ABCA1 (P9) and Service-Project Z

+49 931 201-30052

Portraitfoto: Univ.-Prof. Dr. med. Mirko Pham

Univ.-Prof. Dr.
Mirko Pham, MD

PI Project Neurofibromatosis (P2) and Service-Project Z

+49 931 201-34805

Portraitfoto: Univ.-Prof. Dr. med. Heike Rittner

Univ.-Prof. Dr.
Heike Rittner, MD

Scientific Coordinator

+49 931 201-30251

Portraitfoto von Univ.-Prof. Dr. med. Nicolas Schlegel

Univ.-Prof. Dr.
Nicolas Schlegel, MD

PI Service-Project Z

+49 931 201-38217

Portraitfoto: Univ.-Prof. Dr. med. Claudia Sommer

Univ.-Prof. Dr.
Claudia Sommer, MD

Speaker of the Clinical Research Unit

+49 931 201-23763

Portraitfoto von Univ.-Prof. Dr. med. Nurcan Üçeyler MHBA

Univ.-Prof. Dr.
Nurcan Üçeyler, MD, MHBA

PI Service-Project Z

+49 931 201-23542

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