Following the people and events that make up the research community at Duke

Students exploring the Innovation Co-Lab

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The Key to Transforming Minds

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Global wars. Ever-advancing artificial intelligence. Uncertain economic and job market prospects. Climate change. Amidst a world filled with change posing deep questions, could humanities provide counsel to our pressing issues and lead us towards more fulfilling, enriching daily experiences? 

Last week, I had the privilege to speak with Divinity School and history professor Polly Ha, director of the Transformative Ideas program and co-lecturer of “The Good Life,” an acclaimed course exploring the intersection of religion, philosophy, and other ethical issues. “The Good Life” encouraged Duke students, hailing from all disciplines and backgrounds, to slow down and incorporate more reflection and intention into their everyday lives.  

Duke professor Polly Ha, faculty in the Divinity School and director of the Transformative Ideas Program

Why is “slowing down” a key principle of “the Good Life”? As Ha pointed out, “it’s more stressful to try to slow down, to rest and reflect, than to take an exam for some students.” This powerful statement prompted me to reflect on my own experiences at Duke. Is it true that, amidst the hurries of daily academics and extracurriculars, merely pausing and thinking has become a difficult task? Perhaps so. If this is true for first-year students like me, how much more severe is this syndrome for upperclassmen undergraduate and graduate students? 

Ha approaches this topic fully empathizing with the busy lifestyle so many of us lead. “As the daughter of immigrant parents, the pace of my life has always been highly accelerated. The challenge of trying to slow down is something I can definitely relate to,” she commented. Ha identified this as a key reason why she required her Fall 2024 cohort to write down their reflections in physical journals so they could more clearly see their own growth throughout the semester. 

Encouraging Civility
A “Good Life” class is in session. Ha prepares to call on a student while Professor Abdullah Antepli of the Sanford School of Public Policy looks on.

The course professors also prepared students to engage in active civic discourse, a key pillar of the Transformative Ideas program. “Many students expressed that during our course, they felt understood and affirmed by their peers, sometimes for the first time,” Ha remarked. While she acknowledges that the class is not comprehensive in covering all thought-provoking, debatable issues of our day, Ha believes that her class prepares students to tackle all types of topics beyond the scope of the class. This is evident in the course’s continual evolvement to respond to our rapidly changing world: this year, she introduced lectures on transhumanism alongside ancient traditions. 

This appealing curriculum is far from the only major project Ha is undertaking. As an active author, scholar, lecturer, and administrator, she currently devotes much time to writing her newest book, “The Future of Freedom,” and researching history and its lessons on freedom and liberty. She is also involved in a multitude of interdisciplinary projects at Duke and beyond linking history and theology to fields as diverse as bioethics and public policy.  

Ha was gracious enough to provide me with a sneak peak of “The Future of Freedom.” In her words, this book is tailored not just to fellow academics but a broader audience, a read suitable for novices like me. Reading the first chapter, I was already transported into a world where grappling with heated topics is appreciated and celebrated. I especially enjoyed Ha’s continued use of rhetorical questions as she elucidated the modern threats against every liberty we cherish. Quotes like “Can we take freedom of conscience, thought, speech, consent, and action for granted?” challenged my perspective on my relationship to the ongoing battles surrounding surveillance capitalism and privacy protection—and whether I, an involved engineering student with aspirations in healthcare, have a role to play in this predicament. Given the captivating read, I am confident that Ha’s inquiry into 1600s England will enlighten many readers and portray the significance of history in our daily endeavors. 

As we chatted about history’s place within a larger interdisciplinary web of research active on Duke’s campus, Ha provided two incredible insights that could not be neglected in this blog. Firstly, she described history as “a spine that connects to many ideas,” contrary to the popular notion that it is solely a window into the past. If history is by nature interdisciplinary, why are renowned historical works still solely focused on primary sources, dates, and battlefield events? According to Ha, Duke’s interdisciplinary research scene is especially strong. “For me, as someone coming from some specialized cultures that did not have the same interdisciplinary superhighways, this has been something I deeply value,” she remarked.   

From teaching “The Good Life” to researching freedom’s past, present, and future, Ha has contributed much to our scholarly community. By bringing the humanities into conversation with twenty-first century challenges, and offering the immersive opportunities provided by Transformative Ideas, her work promises to sow the seeds in students that will sprout into exemplary lives. 

By Stone Yan, Class of 2028

How the body’s own defense system plays a role in Alzheimer’s disease

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Carol Colton, a distinguished professor in neurology and pathology and a member of the Duke Institute for Brain Sciences, is renowned for her groundbreaking research on the immune response’s role in the onset and progression of brain diseases, particularly Alzheimer’s disease (AD). She is a firm believer in using animals such as mice for scientific research, saying that progress in understanding and treating diseases like Alizheimer’s would not be possible without them. With a shorter life cycle than humans, mice can be studied throughout their whole life and across multiple generations. They are also biologically similar to humans and susceptible to many of the same health problems, such as Alzheimer’s. Her work has reshaped our understanding of the brain’s immune system, challenging the long-held notion that the brain is “immune privileged.” 

Carol Colton, PhD, professor of neurology and pathology at Duke

Central to Colton’s research is the role of “microglia,” the brain’s resident macrophages. Once thought to be passive observers in brain immunity, microglia are now recognized as active defenders, crucial in maintaining brain health. Colton’s early studies revealed that these cells not only eliminate harmful substances but also adapt to chronic conditions like Alzheimer’s. In this disease, microglia’s prolonged immune activity disrupts the brain’s metabolic balance, necessitating adaptations in neurons, astrocytes, and microglia themselves. She likens this adaptation to the brain coexisting with a parasite – functional but at a metabolic cost.  

Her research underscores how microglia can initially protect against Alzheimer’s by combating amyloid plaques and phospho-tau proteins but eventually contribute to the disease’s progression as metabolic disruptions intensify.

Colton’s approach integrates physiology and pathology, exploring how changes in normal physiological processes influence disease pathology. Her lab employs a variety of advanced techniques, from cellular microscopy to gene and protein analysis, to map the intricate relationships between brain metabolism and disease. This multidisciplinary approach enables a deeper understanding of how the brain’s unique environment shapes disease progression.

A cornerstone of Colton’s recent work is her discovery of “Radical S-Adenosyl domain 1 (RSAD1),” a mitochondrial protein found at the bottom of the ocean critical to understanding Alzheimer’s. RSAD1 is overexpressed in Alzheimer’s neurons, altering methionine metabolism and mitochondrial function. These disruptions contribute to the disease’s characteristic metabolic imbalance. By developing RSAD1-negative and RSAD1-overexpressing mouse models, her lab provides crucial tools to study the protein’s impact on neuronal and mitochondrial metabolism in the presence of amyloid plaques and phospho-tau.

RSAD1 also appears to be linked to methionine depletion in the brain, which may further exacerbate Alzheimer’s pathology. These findings pave the way for novel therapeutic targets aimed at restoring metabolic equilibrium in the brain.

Colton’s scientific journey is deeply influenced by her family’s academic legacy, particularly her mother, who earned a chemistry degree during an era when women faced significant barriers in science. Inspired by her mother’s determination, Colton is a passionate advocate for women scientists, often emphasizing the importance of diversity and mentorship in STEM fields.

Colton’s work highlights the slow, insidious nature of Alzheimer’s disease, driven by metabolic and immune system changes over decades. By asking fundamental questions, such as whether Alzheimer’s results from the loss of key metabolites or whether microglia contribute to this depletion, her research aims to uncover the mechanisms that underlie the disease and identify strategies for intervention.

In the fight against Alzheimer’s, Colton’s discoveries, particularly those surrounding RSAD1 and microglial activity, are setting the stage for innovative treatments. Her dedication to unraveling the complexities of brain metabolism and immune response solidifies her place as a leader in neurology and pathology, with an enduring impact on the field of Alzheimer’s research.

Post by Lydia Le, NCSSM class of 2026

Charting New Territory in Genomics: Inside Dr. ZZ’s Lab

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“The beauty of research is freedom,” says assistant professor of pharmacology and cancer biology Zhao Zhang, when asked what drove him to research transposons and circular DNA at Duke.

Zhao Zhang, an assistant professor of pharmacology and cancer biology at the Duke University School of Medicine.

Though he is now a prominent researcher, Zhang reveals that he didn’t develop an interest in the research field until his senior year of college. It was when he was running his first PCR, a technique used to amplify small segments of DNA, nervously but excitedly waiting for the results, that he became “hooked” on research. He then pursued a master’s degree in China that further cemented his passion for biology.

He continued his education abroad and soon earned his Ph.D. from the University of Massachusetts Medical School. He then decided to forgo the traditional post-doctoral training period and instead established his research group at the Carnegie Institution for Science, where he stayed for nearly five years earning accolades like the NIH Director’s Early Independence Award and the Larry Sandler Award from the Genetics Society of America.

At Carnegie, Zhang conducted research on how Drosophila, or fruit flies, can lay eggs while suppressing transposons. Jumping genes, or transposons, comprise around half of our genome and get their name from jumping from one genomic location to another. They can cause genomic instability and oncogenesis, or the formation of cancer.

One day by “pure serendipity,” the focus of their research was completely transformed when they learned that these transposons can form circular DNA. While trying to figure out why this occurred, Zhang discovered that there wasn’t much that researchers knew about circular DNA. He says it was like stumbling onto a “golden mountain” of unexplored research topics and decided to switch his research focus from germline biology to cancer biology.

This switch coincided with Zhang’s move to Duke, where he asks people to call him ZZ. Currently, his lab studies both transposons and circular DNA. One major goal of Zhang’s lab is to understand transposon-mediated immunity and use this to create cancer vaccines.

Dr. Zhang in his lab at Duke University

Another major focus of the ZZ lab is circular DNA, which can reintegrate into the genome. According to Zhang, circular DNA may also amplify cancer genes since “30% of cancer patients have circular DNA but for really aggressive cancers like glioblastoma (a brain cancer), 60% of patients have circular DNA.” His lab aims to use their research on circular DNA to develop drugs for cancer therapy.

His lab is currently waiting on results that have the potential to be instrumental in bringing new therapies for the treatment of cancer, including more aggressive types and those with lower rates of survival.

However, there is a possibility that the results will be unfavorable and he and his team will have to go back and tweak the system and re-optimize conditions before testing again. 

 “With science, you always learn something,” ZZ says. “Maybe it’s not what you wanted, but it is always a foundation to build the next stage of learning.”

Guest post by Sindhu Paladugu, North Carolina School of Science and Math, Class of 2025

Sticking to Sweat: The Future of Biosensors and Tracking Our Health

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Bandaids and pimple patches are the first things we consider when discussing adhesives in medicine. But what if there is more to the story? What if adhesives could not only cover and protect but also diagnose and communicate? It turns out Dr. Wei Gao, assistant professor of medical engineering at the California Institute of Technology, is asking these exact questions. In the field of biomedical adhesives, Gao’s research is revolutionizing our understanding of precision medicine and medical testing accessibility. He visited Duke on Oct. 9 to present his work as part of the MEMS (Mechanical Engineering and Material Science) Seminar Series. 

Wei Gao presenting at Duke University

Gao’s research team focuses on material, device, and system innovations that apply molecular research and principles to clinical settings and improve health. Gao focused his talk on the invaluable characteristics and uses of sweat. Sweat can offer doctors a broad spectrum of information, including nutrients, biomarkers, pH levels, electrolytes/salts, and hormones. He leverages this fundamental characteristic of human physiology to design wearable biosensors that can provide early warnings of health issues or diseases. Gao focuses on making biomarker detection more efficient than current methods, such as blood samples, which require hospital testing, involve highly invasive techniques, and lack continuous monitoring. 

The first milestone in his research came in 2016 when he introduced a fully printed, wearable, real-time monitoring sensor device. The device allowed them to continuously collect sweat and wirelessly communicate data about these sweat samples from patients onto digital devices. The initial 2016 device focused on resolving four fundamental challenges: since most chemical sensors are not stable over long periods of time, the device had to be (1) low-cost and (2) disposable without sacrificing performance. In addition, the device had to (3) be mass-producible to be accessible to the public and (4) integrate multiple signals that could be real-time transmitted to a digital interface.  

Schematic of the sensor array for multiplexed perspiration analysis in Dr. Gao’s 2016 biosensor design

To address the first two of those challenges, Gao and his group turned to printing techniques.  The circuit substrate was a thin piece of flexible PET (a plastic), upon which they layered the circuit components.  The flexible sensor array was constructed in a similar pattern, with a layer of PET patterned with gold to produce the electrodes, covered with parylene, and then each electrode was tuned to receive a specific chemical stimulus: potassium and sodium ion sensors, with a polyvinyl butyrate reference electrode, and oxidase-based glucose and lactate sensors paired with a silver/silver chloride reference electrode.  This design allows the simultaneous monitoring of multiple biomarkers.  To transmit the data wirelessly, the circuit board included a Bluetooth transceiver.

The next major step was to devise a way to monitor sweat without relying upon heat or vigorous exercise, neither of which may be feasible in the case of clinically ill patients. In a 2023 paper, Gao and colleagues published a biosensor that could induce localized sweating using an electric circuit. Called iontophoresis, the technique delivers a drug (a cholinergic agonist) that stimulates the sweat glands on demand and only in the area of the sensor. 

Another important question was how to power the devices sustainably.  Gao’s lab has devised two primary responses to this question: In a 2020 paper, his team powered a similar multiplexed wireless sensor entirely using electricity generated from compounds in sweat. This entailed using lactate biofuel cells to harness the oxidation of lactate to pyruvate (coupled with the reduction of oxygen to water) to provide a stable current. In a 2023 paper, they employed a flexible perovskite solar cell onboard the device to power the monitoring of a suite of biomarkers.

Dr. Gao’s recent publication in February 2024 highlighted a Consolidated AI-Reinforced Electronic Skin (CARES) for stress response monitoring

With these technical hurdles overcome, Gao and his lab have been able to develop sensors targeted to several important medical applications. The work can be directly applied to the monitoring of conditions like cystic fibrosis and gout. More broadly, wearable biosensors can be used to track levels of medically relevant compounds like cortisol (for stress monitoring), C reactive protein (inflammation), and reproductive hormones. The lab has also branched into other kinds of devices that use similar microfluidics approaches, including smart bandages for wound monitoring and smart masks to detect biomarkers in breath.

Through eight years of dedicated investigation, Gao serves as a pioneer in the field of bioelectronic interfaces. Gao continues to widen the possibilities of biosensors not only within the medical sphere but also for the general public. For example, his lab is collaborating with NASA and the U.S. Navy to support the performance and health of astronauts and our military, which is vital as they work in extreme environments. By pushing forward ground-breaking devices such as sweat biosensors, our healthcare systems can pursue preventative care, reducing the need for treatments or health resources by catching these issues early on. Following Gao’s footsteps, we can now build toward a healthier future as we improve the precision of our healthcare approaches and technological advancements.

By Monona Zhou and Nicolás Zepeda

Highlights from the Peace Lab Innovation Showcase

Gideon Kapalasa of UNC’s Gillings School of Global Public Health
Gideon Kapalasa of UNC’s Gillings School of Global Public Health

This fall, the Sanford School of Public Policy hosted a Peace Lab Innovations Showcase, where master’s students from Duke and the University of North Carolina shared their ideas for resolving problems surrounding different forms of conflict, injustices, and violence. The objective of the class ‘Introduction to Peace and Conflict Resolutions’ was to introduce the multi-disciplinary field of Peace and Conflict Studies as a foundation for the Rotary Peace Studies curriculum. 

The showcase featured various presentations ranging from ‘Empowerment Exercises for Self-Exploration’ to ‘The Circle of Life: Peace in an Age of Broken Cycles’. One presentation, specifically, caught my eye.

The author Gideon Kapalasa, a master’s student at UNC, presented his take on building bridges of peace in Dzaleka Refugee Camp in Malawi. He has been researching the camp for years and just recently moved to the U.S. to pursue his master’s degree.

Kapalasa’s research focused on empowering young men in the Dzaleka Refugee Camp. He explained the importance of engaging young men in schools, and other skill-building activities – with a crucial focus on their mental well-being. With his work, he hopes to achieve improved resilience within children, leading to improved life chances – bringing some level of degree to the neighborhoods of Malawi.

Another student and author, Anna Hallahan, focused on ‘The Art of Peace’. Her research focused on war and peace through an artistic lens. Through her project, she hopes to ponder questions such as ‘How has peace imagery evolved?’ and ‘How does the story of peace propaganda extend beyond the absence of war?’. In her presentation, she gave numerous examples of how the production of art can encourage and manipulate the mindset surrounding sensitive topics such as war – therefore, playing an intrinsic role in conflict resolution.

To witness the passion and unique ideas of master’s students was a refreshing reminder that our world has hope and research seems to be the perfect pathway to achieve that!

Post by Noor Nazir, class of 2027

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