Overall Plan: Summary
The overall goal of this Center of Biomedical Research Excellence (COBRE) application is to strengthen the
biomedical research infrastructure in Montana with a focus on the central, multi-disciplinary theme of Integrated
Biomedical and Rural Health Research, a subject that is both sufficiently broad to enable recruitment of diverse
faculty and sufficiently focused to build cohesiveness around a common goal to address rural health in a multi-
disciplinary fashion that includes basic, translational and clinical studies. The Center for Biomedical and Rural
Health Research encompasses mentorship and collaboration between faculty in the established partnership
between the McLaughlin Research Institute, the Touro University College of Osteopathic Medicine - Montana,
and the Benefis Healthcare System, the largest comprehensive provider in central Montana extending across
38,000 square miles with outreach services present in 94 percent of Montana’s counties. We focus on building
capacity in research on health problems that are especially of concern and/or prevalence in rural environments
with three specific aims to: 1) Enhance the success of Research Project Leaders (RPLs) along the integrated
trajectory from bench to translational animal models, to clinical applications. 2) Recruit a minimum of eight
additional faculty, in Phase I, as RPLs and Pilot Project Investigators (PPIs) to increase the number of
investigators, and their scope and impact, in integrated biomedical research. 3) Build and maintain two critical
core facilities that support expansion of research infrastructure. To accomplish our aims, we present four initial
projects focused on neurological diseases, diseases that are common and distinctively devastating, in rural
environments: Neutrophil apoptosis in Alzheimer’s disease pathogenesis, age-related macular degeneration and
exosome release, misfolded SOD-1 and α-synuclein proteins in idiopathic Parkinson’s disease (PD), and
comprehensive phenotypic profiling of Chronic Wasting Disease (CWD). Each project is led by a new or an early-
stage investigator with an engaged mentoring team specifically tailored to their career development. Supporting
these projects are two cores: The Administrative Core and the Gene Editing and Mouse Models Assessment
(GEMMA) Core. This application is significant as it establishes a unique and sustainable center that serves the
two primary purposes of supporting career development of new and early-stage investigators in a unique
geographical and socio-cultural area of Montana and of advancing our understanding of conditions of special
concern and/or prevalence in rural communities. The application is innovative in multiple aspects but especially
as it: 1) Taps into the strengths and resources of an extensive and under-utilized sector of the healthcare
community through a partnership between an independent nonprofit research organization, an osteopathic
medical campus and a rural-serving healthcare system, and 2) serves the dual purpose of providing
unprecedented opportunities for expansion of biomedical research, talent recruitment and innovation in a rural
region of the United States while also providing the physical and intellectual presence in situ that is required to
increase public trust in biomedical research in the northern Rocky Mountain front and adjacent communities.