Background and Objectives
The steadily increasing prevalence of neurodegenerative and neuropsychiatric disorders is a consequence of demographic ageing. At the same time, however, new possibilities for early diagnosis and personalised treatment are opening up thanks to biomarkers and disease-modifying therapies, particularly antibody therapies for Alzheimer’s disease. However, significant challenges remain in terms of our understanding of the underlying disease mechanisms and providing optimal care for affected patients.
The “Translational Neuropsychiatry of Aging” research group investigates neurodegenerative and neuropsychiatric disorders of old age—such as dementia and late-life depression—using a translational research approach. The focus is on identifying new biomarkers, investigating neuroimmunological and neurodegenerative mechanisms, and integrating clinical, neuropsychological, imaging, and molecular biological data. In addition, experimental models are used to investigate disease-relevant signaling pathways and develop new therapeutic approaches.
Another focus is on translational health services research. By analyzing clinical cohorts, registries, and real-world data, the research group investigates healthcare delivery systems, disease progression, and medication safety aspects in older adults. The goal is to develop evidence-based strategies for more precise diagnostics, personalized therapy, and a sustainable improvement in the care of patients with neurodegenerative and neuropsychiatric disorders.
Selected Current Projects
As part of a prospective registry study, patients in our Memory Clinic with subjective cognitive complaints (SCD), mild cognitive impairment (MCI), Alzheimer’s disease, frontotemporal dementia (FTD), and other neurodegenerative diseases undergo standardized clinical characterization and are followed longitudinally. In addition to neuropsychological assessments, blood tests and—when clinically indicated—cerebrospinal fluid (CSF) analyses, as well as imaging studies, are performed.
A key focus is on the identification and validation of new biomarkers for neurodegenerative and neuroimmunological processes. To this end, clinical, neuropsychological, imaging, and molecular data are integrated with proteomic, metabolomic, and other multi-omics analyses. The goal is to better understand disease mechanisms and to identify new diagnostic, prognostic, and predictive biomarkers for personalized diagnosis and therapy.
Understanding neurodegenerative diseases requires experimental models that realistically replicate disease-relevant molecular and cellular processes. Our research group establishes and utilizes human cell models to investigate mechanisms of neurodegeneration and neuroinflammation, as well as their interactions. A particular focus is on the functional characterization of signaling pathways and biomarkers identified in clinical cohorts. By closely linking experimental models with clinical, molecular, and multi-omics data, we aim to identify new diagnostic biomarkers and potential therapeutic targets.
Cerebral amyloid angiopathy (CAA) is a common cerebrovascular disease of the elderly and a major cause of cognitive impairment and intracerebral hemorrhage. In addition, neuropsychiatric symptoms are increasingly coming into focus; however, their clinical significance and pathophysiological basis have not yet been sufficiently investigated. With the introduction of disease-modifying antibody therapies for Alzheimer’s disease, CAA is also gaining particular significance, as it is closely linked to amyloid-related imaging abnormalities (ARIA) and other treatment-related complications.
Our research group investigates the clinical relevance of CAA for psychiatry and analyzes neuropsychiatric symptoms, neuropsychological profiles, imaging findings, and biomarkers in patients with CAA. The goal is to gain a better understanding of the clinical heterogeneity and neuropsychiatric manifestations of the disease, as well as to identify biomarkers and predictors of disease progression, functional outcome, and therapy-related complications.
The research group investigates the care of patients with neurodegenerative diseases along the entire treatment pathway - from diagnosis through pharmacotherapy to cross-sectoral care. A key focus is on analyzing medication safety aspects, polypharmacy, and clinical outcomes in everyday clinical practice.
To this end, the group utilizes prospective registry studies, retrospective cohorts, and national and international real-world data. This includes, among other things, collaborations with Arzneimittelsicherheit in der Psychiatrie (AMSP) and analyses of large health databases.
Grants and Awards
- University-Internal Performance Grant (HiLF) (“Neuroinflammatory Regulation in the Context of Alzheimer’s Disease and Comorbid Cerebral Amyloid Angiopathy,” PD Dr. Martin Schulze Westhoff)
- PRACTIS – Clinician Scientist (“The Role of Inflammatory Processes as Potential Drivers of Disease Progression in Alzheimer’s Dementia and Characterization of a Subgroup with an Autoimmune Component,” Dr. Sebastian Schröder)
- Norddeutscher Suchtforschungsverbund e. V. (NSF) (2025 Research Award, Dr. Sebastian Schröder)
- European Stroke Organization (2nd place in the “Basic Science Award” at the 2025 Annual Congress for the work “Neuroinflammatory Regulation and Cognition in Alzheimer’s Disease and Cerebral Amyloid Angiopathy,” PD Dr. Martin Schulze Westhoff)
Scientific Collaborations
- Molecular Neuroscience Research Group (Prof. Dr. Peter Claus)
- Arzneimittelsicherheit in der Psychiatrie (AMSP)
- Department of Neurology with Clinical Neurophysiology (Prof. Dr. Thomas Skripuletz, Prof. Dr. Martin Klietz, Prof. Dr. Florian Wegner, PD Dr. Matthias Höllerhage, Dr. Maria Gabriel)
- LEBAO – Leibniz Research Laboratory for Biotechnology and Artificial Organs
- Institute for General Medicine and Palliative Care (PD Dr. Johannes Heck)
- Institute for Diagnostic and Interventional Neuroradiology (PD Dr. Julius Renne)
- Department of Neuropathology (Prof. Dr. Christian Hartmann)
- UK Dementia Research Institute, Cardiff University
- Institute of Neuroscience and Physiology, University of Gothenburg
- GHU Paris Psychiatry & Neurosciences (Prof. Dr. Jean-Claude Baron, Prof. Dr. Guillaume Turc)
- LVR-Klinikum Düsseldorf (Dr. Franziska Kümpers)
Head of research group
PD Dr. med. Martin Schulze Westhoff, MHBA
Telefon: +49 511 532 7307
Mail: SchulzeWesthoff.Martin@mh-hannover.de
Dr. med. Sebastian Schröder, MHBA
Telefon: +49 511 532 7275
Mail: Schroeder.Sebastian@mh-hannover.de