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Roads Not Taken

By Thomas Insel on November 27, 2012

Julius Axelrod was one of NIMH’s greatest scientists and mentors for five decades until his death in 2004 at age 92. In addition to his many discoveries - which led to his 1970 Nobel Prize - Julie, as he was known, was famous for his aphorisms. One was his saying that “98 percent of the discoveries are made by 2 percent of the scientists.” While this might sound arrogant or elitist to some, data emerging over the past few years support the notion that much of our scientific endeavor involves following the herd and, importantly, that the herd grazes on not much more than 2 percent of the available land.

In a paper published last year in Nature entitled “Too many roads not taken,” Aled Edwards and his colleagues provide a nice example of this instinct.1 The class of enzymes called kinases are critical biological gatekeepers, and many are potentially involved in diseases of the brain. Although there are over 500 protein kinases known from the human genome, about 65 percent of the 20,000 kinase papers published in 2009 focused on the same 50 that were being studied in the early 1990’s. This narrow focus has persisted after many of the unexplored kinases showed up in unbiased genomic screens as potentially related to diseases.

The narrow focus of our science is even more conspicuous in this age of “-omics” – when we can study all of the genes, all of the transcripts, or all of the proteins without a hypothesis. Although we thought the fields of genomics, transcriptomics, and proteomics had defined the universe of roads not taken, recent publications from the ENCODE project reveal a dramatic expansion of this universe.2 ENCODE is a landmark effort that is mapping the working parts of the human genome and exposing just how limited our exploration has been to date. Researchers have focused mostly on the 2 percent of the genome that belongs to genes, but we now know that 80 percent of the genome is translated. In fact, the genome codes for a range of important biological signaling molecules, many of which are still being identified.

For the past 50 years, NIMH researchers have focused on a few pages of this vast text, assuming that dopamine and serotonin were most of what we needed to know about the biology of mental disorders. Where we have been is akin to colonial North America where the overwhelming majority of the population remained on a small fraction of the continent and the Midwest and West were frontiers explored by very few.

How do we encourage exploration of the vast frontiers of biology? How do we nudge the scientific field toward the unknown? In truth, much of what we currently do reinforces herd behavior. NIMH funding is guided largely by a system of peer review, and peer review tends to reward the familiar or, at best, small steps. But the problem is much more fundamental than this. Scientific training is based on an apprenticeship model, with the focus placed on following a mentor, not on breaking for a frontier. Furthermore, academic success requires publishing, which is most easily accomplished by remaining where the tools are good, the field is safe, and the territory is familiar. Not all kinases, for example, are equally easy to study. Successful scientists know to focus on problems that have a good chance of being solved. As the British biologist Sir Peter Medawar noted, “Science is the art of the soluble.” But the targets that are easiest to study are not always the most important. We have created a world of incentives for looking where the light is, even if that is not where the keys were lost.

This would not matter so much if our problems were not so important to solve. We simply cannot afford to have 98 percent of our scientists looking where the light is, staying within the safe zone. Given this, NIH has been working to build incentives to help attract the most intrepid scientists into the frontiers of science. NIH’s Pioneer Awards and New Innovator Awards are grants for innovative ideas that are opening new areas to research and creating new tools. Importantly, these awards are for the person, not the specific project, encouraging these scientists to pursue novel approaches to important problems. For example, a recent NIMH-supported Pioneer Award will allow Feng Zhang of MIT to develop a new approach to manipulating the genome and epigenome.3

NIMH is also trying to encourage innovation among young investigators through the BRAINS (Biobehavioral Research Awards for Innovative New Scientists) initiative. So far, we have awarded 28 early stage investigators with support to pursue an idea deemed high-risk but high-reward, helping to move them into areas not previously studied. Among the 28, Amit Etkin4 of Stanford is studying the neurobiology of psychotherapy, and Zhaolan Zhou5 of the University of Pennsylvania is defining the epigenetic signature of early life stress.

My own sense is that Julie Axelrod was partly right. There is a small group of scientific leaders who seek out new frontiers and set the pace for the vast majority of the field. But I am not convinced that tells the entire story. Each new breakthrough is based on a foundation laid by hundreds of scientists often working in distant fields. Today we find that discoveries are often the products of groups working together, rather than a lone investigator striving to be in the 2 percent club. At the same time, we do need to make more room for scientific pioneers - researchers who have completely new ideas and are willing to take risks to open up a new area of inquiry.

This need is important to consider during this period of austerity for NIMH funding. Tight budgets are not kind to risk takers. But, when budgets are tight, it is more important than ever to shore up support for the innovators who are not following familiar paths. At NIMH we are using the Pioneer and New Innovator initiatives, our own BRAINS awards program, and a policy of supporting grants that are trying new approaches even when the peer review scores are beyond our nominal payline. If there is any lesson to be learned from the many discoveries of this past year, it is that the continent we need to explore is both larger and more complex than we ever imagined. With so many roads not yet taken, who would want to follow the herd?

References

 1 Edwards AM, Isserlin R, Bader GD, Frye SV, Willson TM, Yu FH. Too many roads not taken. Nature. 2011 Feb 10;470(7333):163-5. PMID: 21307913

 2 The September 6, 2012 issue of Nature includes multiple articles pertaining to the ENCODE project. Information about the project and related publications are accessible via Nature’s ENCODE web pages: http://www.nature.com/encode/External Link: Please review our disclaimer.

 3 Additional information about this project may be accessed at: http://projectreporter.nih.gov/project_description.cfm?projectnumber=1DP1MH100706-01

 4 Additional information about this project may be accessed at: http://projectreporter.nih.gov/project_info_description.cfm?aid=8319594&icde=14517184

 5 Additional information about this project may be accessed at: http://projectreporter.nih.gov/project_info_description.cfm?aid=8299100&icde=14517215

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The Pay-Offs of ARRA

By Thomas Insel on June 22, 2012

Balancing Immediate Needs with Future Innovation

By Thomas Insel on January 26, 2012

Dr. Insel responds to discussion from the National Advisory Mental Health Council concerning the need to balance research funding for basic science and mental health services.

We Are the Government

By Thomas Insel on January 17, 2012

NIMH’s “government bureaucrats” are really dedicated public servants devoted to good patient care, improved  treatments, and scientific discovery.

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Treatment Development: The Past 50 Years

By Thomas Insel on December 14, 2011

Dr. Insel discusses the state of psychiatric research and development (R&D) in the public and private sectors

Investing Wisely in Public Health

By Thomas Insel on June 17, 2011

Dr. Insel on investing in research.

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NIMH Impact on Public Health

By Thomas Insel on April 19, 2011

NIMH research can have a significant impact on public health through innovations and projects that cross the four objectives outlined in NIMH’s Strategic Plan.

Funding Science in a Time of Austerity

By Thomas Insel on March 07, 2011

Dr. Insel discusses the impact of difficult budget times on mental health research.

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Big BRAINS Academy: NIMH Awards Program Fosters Creative New Scientists

By Thomas Insel on February 18, 2011

With the charge to become vanguards for the next generation of scientists, NIMH recognized the 12 recipients of the 2010 Biobehavioral Research Awards for Innovative New Scientists—or BRAINS.

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The Economics of Health Care Reform

By Thomas Insel on January 26, 2011

Dr. Insel discuss what NIMH is doing to support economic research in light of mental health parity and health care reform.

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Looking forward to 2011

By Thomas Insel on January 04, 2011

Dr Insel discusses research priorities for 2011.

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Investing in Innovation

By Thomas Insel on October 19, 2010

NIH has created several funding mechanisms aimed at supporting innovative, unconventional research.

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Taking Clinical Research to the Next Level

By Thomas Insel on August 30, 2010

Dr. Insel discusses the evolution of clinical research and changing priorities in clinical research funding.

More on Public Trust and Conflict of Interest

By Thomas Insel on June 15, 2010

Dr. Insel addresses recent misconceptions pertaining to financial conflict of interest.

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NIMH — Reducing Conflict of Interest, Ensuring Public Trust

By Thomas Insel on June 07, 2010

Dr. Insel discusses progress in the approaches for identifying and preventing financial conflicts of interest.

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NIMH’s BRAINS Awards—In Support of Creativity

By Thomas Insel on May 17, 2010

NIMH recognizes the first seven recipients of its BRAINS awards.

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Who Will Develop the Next Generation of Medications for Mental Illness?

By Thomas Insel on March 30, 2010

Today’s treatments for mental illness may be good but they are not good enough. As industry pulls back, NIMH will have to step in and play a bigger role in fostering development of a new generation of evidenced-based medications for people with mental illness.

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Tracing the Brain’s Connections

By Thomas Insel on March 10, 2010

A picture of the brain’s connections is emerging from an effort to create a reference atlas of the human “connectome.” Much like variation in the human genome, highly individual variation in circuitry occurs within a universal, intrinsic functional architecture.

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Disorders Without Borders

By Thomas Insel on March 04, 2010

NIMH is increasing its commitment to global mental health.  The Institute is already invested in research around the globe.  In 2009, NIMH supported nearly 200 grants in 51 countries.  Our portfolio has included AIDS prevention in sub-Sahara Africa, studies of autism in Saudi Arabia, and research on mental health systems in Chile.  With such a broad international portfolio, so many unmet needs for mental health research in the United States, and so little new money available for research, why would NIMH want to invest more globally?

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Re-Thinking Classification of Mental Disorders

By Thomas Insel on February 01, 2010

Can we develop a clinically useful diagnostic system based on neuroscience and genetics? Not yet. But, in the spirit of beginning a long journey, NIMH is taking its first step with the Research Domain Criteria (RDoC) project.

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Ensuring Public Trust

By Thomas Insel on January 22, 2010

NIMH’s aggressive approach towards identifying and preventing financial conflicts of interest.

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Looking Forward in 2010

By Thomas Insel on January 08, 2010

This week’s issue of Nature, the first of 2010, includes an editorial entitled “A Decade for Psychiatric DisordersExternal Link: Please review our disclaimer.”. Phil Campbell, the editor of Nature, argues that the understanding and treatment of conditions such as schizophrenia are ripe for a revolution. At NIMH, we agree with this assessment. Indeed, the revolution is already underway with extraordinary recent findings from genomics, imaging, and clinical trials. The banner for this revolution is pathophysiology, understanding the mechanism of disease as a critical step to developing novel, effective, and safe treatments and preventive strategies. As Campbell says, “There is much to be done, and a decade is the timescale over which enhanced commitment is required.”

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2009, A Remarkable Year For NIMH

By Thomas Insel on December 29, 2009

From the extraordinary funding opportunities presented by the passage of the American Recovery and Reinvestment Act of 2009 (Recovery Act)External Link: Please review our disclaimer. to significant new investments in research and resource infrastructure — this has been a remarkable year for our Institute. I would like to reflect with you on how the work of 2009 has prepared us for the year ahead.

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Autism Progress

By Thomas Insel on December 17, 2009

The National Institute of Mental Health (NIMH) has made a substantial commitment to research designed to discover autism’s causes and improve diagnosis and treatment. Not only has NIMH become the lead institute for autism research at NIH, we have become the largest single source of funding for autism research in the country.

Focusing Our Funding Opportunity Announcements

By Thomas Insel on November 30, 2009

The NIMH Strategic Plan provides a framework to focus and accelerate mental health research so that breakthroughs in science become breakthroughs that can tangibly improve mental healthcare and the lives of people living with and affected by mental illness. For the Institute to pursue most effectively its mission of transforming the understanding and treatment of mental illnesses, we must be able to adapt to and fully explore the constantly changing scientific landscape that comes with the increased pace of research progress.

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NIMH and the Recovery Act

By Thomas Insel on September 01, 2009

Last February’s announcement that funding from the American Recovery and Reinvestment Act of 2009 (ARRA)External Link: Please review our disclaimer. will be used to support job creation and retention in biomedical research presented an exciting opportunity for NIMH.  These supplemental funds arrived just as the Institute was launching the implementation of its new Strategic Plan.  For some months now, the Institute has been diligently working to implement a series of ARRA funding initiatives that will aggressively pursue the Plan’s objectives.

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