An automated machine learning approach to language changes in alzheimer?s disease and frontotemporal dementia across latino and english-speaking populations

Active Project Grant Awarded Last action

Award ID
R01AG075775
Recipient
Awarding agency
Obligated
$16,490,894

Award facts

Assistance listing
93.866 Aging Research
Completion date 65% complete
Place of performance
San Francisco, CA 94143, USA

Award details come from USAspending.gov.

Description

Abstract
Alzheimer's disease (ad) and frontotemporal dementia (FTD) are highly prevalent in latinos, the largest and fastest-growing minority in the united states (US). Yet, due to financial and cultural inequities, this group is challenged to afford standard diagnostic and monitoring procedures. Also, research on latinos lacks scalable, culturally valid tests and IT rarely examines whether potential markers are robust across socio-biological profiles. Such issues can be tackled with low-cost automated speech and language analyses (asla). Participants are asked to produce natural speech, generating multiple acoustic (sound wave) and linguistic (e.g., semantic) data that can be digitally extracted and analyzed to identify diseases or predict neurocognitive disruptions. Yet, asla findings are minimal in latinos. Also, most asla studies are small and very few HA differentiated between ad and FTD variants, compared asla with standard measures, accounted for socio-biological factors (e.g., SEX, race, brain profile, bilingualism) or tested for validity across languages and dialects. This project will develop a novel asla framework to jointly address such challenges. To capture socio-biological diversity and meet requisites for robust machine and deep learning analyses, we will leverage 2740 participants. These encompass spanish speakers from five latin american countries (700 ad, 700 FTD, 800 controls), english speakers from the US (140 ad, 140 FTD, 160 controls), and US-based latinos (30 ad, 30 FTD, 40 controls), including the main variants of each disease. This is possible due to a strategic partnership between ucsf and the consortium to expand dementia research in latin america, a multi-funded network bringing a fully harmonized environment and a large, growing cohort. The global brain health institute, a dementia training hub at ucsf, hosts expert clinicians in all sites. Speech and language data will be gleaned through our new toolkit to examine lifelike language, a hippa-compliant APP for speech collection, storage, and visualization, supported by a language battery and survey. Enrollees are characterized with demographic, clinical, cognitive, and social determinants of health measures, alongside MRI and fmri. Our asla approach comprises top predicted markers for each syndrome, added fine-grained features, and embedding features. Novel machine and deep learning algorithms for high-dimensional settings will be used to pursue three aims. In aim 1, we will employ machine and deep learning to reveal the asla markers that best identify ad and FTD syndromes; compare them with cognitive and imaging measures; and test them for generalizability from spanish onto english (a typologically different language). In aim 2, via linear regressions, we will use optimal asla markers to capture syndrome-specific patterns of cognitive dysfunction, brain atrophy, and connectivity. In aim 3, using high-dimensional machine learning, we will test such markers for validity across diverse socio-biological profiles, dialects, and bilingual skills (null, low, high). We will forge an affordable, scalable approach to assist ad and FTD diagnosis in latinos, at a time when disease-modifying therapies may emerge.

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Subawards

Subrecipient Amount Awarded
Hospital Universitario San Ignacio Along with UCSF personnel, Hospital Universitario San Ignacio will perform the following tasks: 1. Dr. Matallana will serve as the site PI, overseeing the… $68,267
Asociacion Peruana De Neurociencias ONG Para La Salud Asociacion Peruana de Neurociencias ONG para la Salud will participate in the prime grant awarded to The Regents of the University of California, San Francisco,… $136,780
Universidad Adolfo Ibanez Universidad Adolfo Ibanez will participate in the prime grant awarded to The Regents of the University of California, San Francisco, (UCSF), which will… $279,559
Fundacion Universidad De San Andres Fundación Universidad de San Andrés will participate in the prime grant awarded to The Regents of the University of California, San Francisco, (UCSF), which… $409,055
Fundacion Universidad De Antioquia Fundación Universidad de Antioquia will participate in the prime grant awarded to The Regents of the University of California, San Francisco, (UCSF), which will… $105,238
Pontificia Universidad Javeriana Pontificia Universidad Javeriana will participate in the prime grant awarded to The Regents of the University of California, San Francisco, (UCSF), which will… $129,052
Fundación Para La Salud Y La Educación DR. Salvador Zubirán, A.C. Fundación para la salud y educación Dr. Salvador Zubirán A.C. will participate in the prime grant awarded to The Regents of the University of… $210,697
Fundacion Universidad De San Andres Fundación Universidad de San Andrés will participate in the prime grant awarded to The Regents of the University of California, San Francisco, (UCSF),… $823,185
Fundacion Universidad De Antioquia Fundación Universidad de Antioquia will participate in the prime grant awarded to The Regents of the University of California, San Francisco, (UCSF), which… $184,521
Universidad Adolfo Ibanez Along with UCSF personnel, Universidad Adolfo Ibanez will perform the following tasks: 1. Dr. Duran-Aniotz will serve as the site PI, overseeing the team in… $542,785
Asociacion Peruana De Neurociencias ONG Para La Salud Asociacion Peruana de Neurociencias ONG para la Salud will participate in the prime grant awarded to The Regents of the University of California, San Francisco,… $223,167
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Quick answers

Who received award R01AG075775?

R01AG075775 was awarded to The Regents Of The University Of California. San Francisco by National Institute on Aging (National Institutes of Health) on August 15, 2023.

How much is award R01AG075775 worth?

$16,490,894 has been obligated on R01AG075775.

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